Provider Demographics
NPI:1407992316
Name:HARPER, JAMES EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11459 JOHNS CREEK PARKWAY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097
Mailing Address - Country:US
Mailing Address - Phone:770-538-1747
Mailing Address - Fax:770-538-1942
Practice Address - Street 1:11459 JOHNS CREEK PARKWAY
Practice Address - Street 2:SUITE 240
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097
Practice Address - Country:US
Practice Address - Phone:770-538-1747
Practice Address - Fax:770-538-1942
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185391-1207R00000X
NY185391207R00000X
GA26866207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08I171OtherPROVIDER NUMBER
NYD45560Medicare UPIN