HARRIS FAMILY MEDICINE, PLLC
NPI 1710530480
Family Medicine in Paragould, AR

Active since July 22, 2019CLIA 04D0974322 · Waiver
630 W COURT ST STE B, PARAGOULD, AR 72450(870) 236-6911 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Harris Family Medicine, Pllc NPPES

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

HARRIS FAMILY MEDICINE, PLLC (NPI 1710530480) is a healthcare organization registered as a family medicine in Paragould, Arkansas and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Ryan Harris, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1710530480
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARRIS FAMILY MEDICINE, PLLC
Location Address630 W COURT ST STE BParagould, AR 72450-4247
Mailing Address630 W Court St Ste BParagould, AR 72450-4247 · (870) 236-6911
Organization SubpartNo
Authorized OfficialRyan HarrisOwner/physician · (870) 215-1601
Enumeration DateJuly 22, 2019
✔ NPI 1710530480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
630 W COURT ST STE B, Paragould, AR 72450

Other Identifiers 1

OtherE-12415AR · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harris Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Harris Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1548611049
630 W COURT ST STE B
Paragould, AR 72450
(870) 236-6911
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285726869
630 W COURT ST
Paragould, AR 72450
(870) 236-6911
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1518481589
160 GREENE 721 RD STE 4
Paragould, AR 72450
(870) 242-3640
✔ PECOS✔ Accepts Medicare4.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0974322

Harris Family Medicine PLLC · Paragould, AR
Active · expires Aug 8, 2028
CLIA Number04D0974322
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorRyan Harris
Laboratory Phone(870) 236-6911
Laboratory LocationHarris Family Medicine PLLC630 West Court Street, Suite B, Paragould, AR 72450
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Harris Family Medicine, PLLC's NPI number?

The NPI number for Harris Family Medicine, PLLC is 1710530480. It was assigned to this organization in the NPPES registry on July 22, 2019.

Where is Harris Family Medicine, PLLC located?

Harris Family Medicine, PLLC is located at 630 W Court St Ste B, Paragould, AR 72450. The listed phone number is (870) 236-6911.

What is Harris Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harris Family Medicine, PLLC enrolled in Medicare?

Yes. Harris Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harris Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Harris Family Medicine, PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Harris Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0974322) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harris Family Medicine, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Harris Family Medicine, PLLC 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 Harris Family Medicine, PLLC was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.