Individual provider Active NPI

Connie Harris Scurti, DO

  • Internal Medicine Physician
  • Columbus, MS
National Provider Identifier
1033449186
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26779 Issued in MS
Practice address
255 Baptist Blvd Ste 301
Columbus, MS 39705-2006
Phone
(662) 244-1705
Fax
(662) 227-4301
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26779 MS Primary

Addresses

Primary practice location

255 Baptist Blvd Ste 301
Columbus, MS 39705-2006

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other names 1

  • Dr. Connie Shaye Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918000319 MS Practitioner - Internal Medicine 1850557802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2104 5TH St N
Columbus, MS 39705-2236
Phone (662) 244-1705

2400 5TH St N
Columbus, MS 39705-2000
Phone (662) 244-1705

2402 5TH St N
Columbus, MS 39705-2000
Phone (662) 241-6192

255 Baptist Blvd
Columbus, MS 39705-2006

2600 5TH St N
Columbus, MS 39705-2010
Phone (662) 244-2960

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2478WVMDProfessional Counselor
26779MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Aug 15, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 15, 2019 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Internal Medicine Past Accepting new patients

Locations

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

2402 5th St N
Columbus, MS 39705
Phone (662) 241-6192

2104 5th St N
Columbus, MS 39705
Phone (662) 244-1705

2600 5th St N
Columbus, MS 39705
Phone (662) 241-4223

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: cscurti299683@direct.bmhcc.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1033449186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD STE 301",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052006",
            "telephone_number": "662-244-1705",
            "fax_number": "662-227-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCURTI",
        "first_name": "CONNIE",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "26779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "HARRIS",
            "middle_name": "SHAYE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.