Corliss La-Shunuette Austin-Harris, D.P.M., M.S.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000689 Issued in GA

Practice address

770 Village Square Dr
Stone Mountain, GA 30083-3380

Phone

(404) 298-8998

Fax

(404) 298-7658

NPI assigned

Jul 23, 2006

Last updated

Feb 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medcura Health, IncGroup PAC ID 2961443643, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corliss.austin.harris.1@9679.direct.athenahealth.com
• Direct secure messaging: corliss.austinharris@oakhurst.gadirect.net

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

• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Decatur, GA
  • NPI 1790821023
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1255779468
  NPD (past)
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conyers, GA
  • NPI 1811333859
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1285656181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833380",
            "telephone_number": "404-298-8998",
            "fax_number": "404-298-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833380",
            "telephone_number": "404-298-8998",
            "fax_number": "404-298-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-HARRIS",
        "first_name": "CORLISS",
        "middle_name": "LA-SHUNUETTE",
        "name_prefix": "Dr.",
        "credential": "D.P.M., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Dental Team Stone Mountain PC
• Atlanta Metro Psychiatric Associates
• Atlanta Mobile Medical LLC
• Atlanta Podiatry Clinic
• Michele Ellen Audet, PT
• Jose Roberto Aveiga, PT, DPT
• Franky Azor, LPN
• B and B Orthopedics and Spine LLC
• George Foster Baker Jr.
• Malissa Abena Baker

• Podiatrist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.