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DEVETTA HARRIS
NPI 1235975152
Nurse Practitioner - Family in Canton, MS

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
122 E ACADEMY ST, CANTON, MS 39046(601) 859-8998 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Devetta Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVETTA HARRIS (NPI 1235975152) is an individual family provider in Canton, Mississippi, licensed in Mississippi (906772) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235975152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEVETTA HARRIS
Location Address122 E ACADEMY STCanton, MS 39046-4502
Mailing Address122 E Academy StCanton, MS 39046-4502 · (601) 859-8998
Phone(601) 859-8998
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1235975152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 906772
122 E ACADEMY ST, Canton, MS 39046
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Devetta Harris is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163916818
PECOS Enrollment IDI20251210003427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Devetta Harris reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heal All Wound Care LLC
19 mi
Adult Health
660 LAKELAND EAST DR STE 210
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 32 clinicians in this Medicare group
NPI 1093554982 (601) 665-4162
Mdb Care Management LLC
19 mi
Primary Care
215 KATHERINE DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 clinicians in this Medicare group
NPI 1144925272 (601) 665-4162
Minor Med Care, LLC
27 mi
Primary Care
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
NPI 1407968738 (601) 372-1117
Mdb Behavioral Health Services LLC
52 mi
Rural Health
1911 MISSION 66 STE B
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 180 clinicians in this Medicare group
NPI 1669835310 (601) 665-4162
Uppal Medical Center LLC
80 mi
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 clinicians in this Medicare group
NPI 1558927905 (662) 577-6673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HICKS GYNECOLOGY PC
Obstetrics & Gynecology
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 421-5211
L C TENNIN JR. MD
Internal Medicine
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992
DEVOTED NURSING CARE
Clinic/Center
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992
L.C. TENNIN, JR M.D., P.A.
Internal Medicine
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992
MRS. KATINA GRANT FNP-C
Nurse Practitioner (Primary Care)
122 E ACADEMY ST
CANTON, MS 39046
Madison County (601) 859-8992

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devetta Harris's NPI number?

The NPI number for Devetta Harris is 1235975152. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Devetta Harris located?

Devetta Harris practices at 122 E Academy St, Canton, MS 39046. The listed phone number is (601) 859-8998.

What is Devetta Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Devetta Harris enrolled in Medicare?

Yes. Devetta Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Devetta Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devetta Harris reassigns Medicare benefits to 5 organizations: Heal All Wound Care LLC (Flowood, MS), Mdb Care Management LLC (Flowood, MS), Minor Med Care, LLC (Jackson, MS), Mdb Behavioral Health Services LLC (Vicksburg, MS) and Uppal Medical Center LLC (Greenville, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devetta Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devetta Harris accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Devetta Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devetta Harris was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.