Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline D Harris, MD

Individual provider Family Medicine Physician · NPI 1073771762

Dr. Jacqueline D Harris, MD is a Family Practice in Atlanta, Georgia. Graduated from Southern Illinois University School of Medicine in 2008, 18 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and North Carolina.

Years since qualifying
18
Trained at
Southern Illinois University School of Medicine
Licensed in
GA, NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 Collier Rd NW Ste 775
Atlanta, GA 30309-1608
Phone: (404) 350-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Weldon Rd, Palmetto, GA 30268-1667 — (678) 593-1900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 63934 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2010-01838 (NC)

Record details

NPI number1073771762
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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