Lisa Harewood, PA-C
Physician Assistant in Raleigh, NC. Individual provider (NPI-1).
NPI number1124094537
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1124094537
- Entity type
- Individual (NPI-1)
- Name
- Lisa Harewood
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 103087 | NC | Yes |
Practice location
800 Springfield Commons DrRaleigh, NC 27609-8532
Phone 919-876-3656 · Fax 919-876-2351
Mailing address
800 Springfield Commons DrRaleigh, NC 27609-8532
Phone 919-876-3656 · Fax 919-876-2351
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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