LISA HARRIS (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1558500900
Addiction Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 ADDICTION MEDICINE in VA
Provider Addresses for LISA HARRIS (MD)
2501 MARSHALL AVE STE A
NEWPORT NEWS, VA 236074636
Phone:
Fax: (877) 991-9049
Type: Mailing
Virginia Beach Post Office, 2109, Thoroughgood Road, Fentress, Robbins Corner, Virginia Beach, Virginia, 23455, United States
UNIT 68162
VIRGINIA BEACH, VA 234554014
Phone: (757) 630-1123
Type: Mailing
The UPS Store, 1083, Independence Boulevard, Haygood Shopping Center, Reedtown, Virginia Beach, Virginia, 23455, United States
SUITE 120
VIRGINIA BEACH, VA 234555523
Phone: (757) 630-1123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200501000789 | I | Addiction Medicine | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| P S Y C H I A T R Y | TX | |
| P S Y C H I A T R Y | VA | |
| P S Y C H I A T R Y | VA | |
| P S Y C H I A T R Y | DC | |
| Clinical Social Worker | VA | |
| P S Y C H I A T R Y | VA | |
| Clinical Social Worker | VA | |
| - | VA | |
| - | VA |
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