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

Mrs. Staci Sithembile Harris, NP

Individual provider Nurse Practitioner · NPI 1134679012

Mrs. Staci Sithembile Harris, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
10
Licensed in
NC, SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

108 Providence Rd
Charlotte, NC 28207-1218
Phone: (704) 287-8604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 S 41st St, Wilmington, NC 28403-5519 — (704) 695-1421

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5009104 (NC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 20490 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5009104 (NC)

Record details

NPI number1134679012
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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