KAMILLE MONIQUE HARRIS PSYD
NPI 1831057041
Psychologist - Clinical in Smyrna, GA

Q: What is Kamille Harris's NPI number?

The NPI number for Kamille Harris is 1831057041. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Q: What is Kamille Harris's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kamille Harris was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since January 14, 2026PECOS Enrolled

400 TECHNOLOGY CT SE STE J, SMYRNA, GA 30082(770) 431-2354(770) 436-7143 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2026, Mar 13, 2026, Jan 14, 2026 (3 updates tracked since 2026).

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About Kamille Monique Harris Psyd NPPES

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

KAMILLE MONIQUE HARRIS PSYD (NPI 1831057041) is an individual clinical provider in Smyrna, Georgia, licensed in Georgia (PSY004811) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831057041

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKAMILLE MONIQUE HARRISCredential: PSYD

Location Address400 TECHNOLOGY CT SE STE JSmyrna, GA 30082-5237

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(770) 431-2354

Fax(770) 436-7143

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 14, 2026

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1831057041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY004811

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

400 TECHNOLOGY CT SE STE J, Smyrna, GA 30082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamille Monique Harris Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284103367

PECOS Enrollment IDI20260519000076

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 Reassignment

Medicare enrollment records show Kamille Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC

27 mi

Psychiatry

250 CORPORATE CENTER CT
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
592 clinicians in this Medicare group

NPI 1881990869 (770) 389-8100

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 30082 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 20

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

TOMMIE MACK RICHARDSON MD

Psychiatry & Neurology (Psychiatry)