Individual provider Active NPI

Courtney Burns, CFNP

  • Family Nurse Practitioner
  • Lucedale, MS
National Provider Identifier
1346642428
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R885973 Issued in MS
Practice address
92 Ratliff St
Lucedale, MS 39452-6537
Phone
(601) 947-8181
Fax
(601) 947-4411
NPI assigned
Sep 21, 2014
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R885973 MS Primary
Registered Nurse 163W00000X R885973 MS

Addresses

Primary practice location

92 Ratliff St
Lucedale, MS 39452-6537

Mailing address

PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 947-8181

Other identifiers 1

IdentifierTypeStateIssuer
R885973OtherMSSTATE LICENSURE

Other names 1

  • Courtney Garriga 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000102 MS Practitioner - Nurse Practitioner 6305162462 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R885973MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
George County Hospital Current Accepting new patients
Community Medical Center CurrentSince Jan 17, 2015 Accepting new patients
Inpatient Physician Services CurrentSince Jan 17, 2015 Accepting new patients
Greene County Family Medical Clinic CurrentSince Jan 17, 2015 Accepting new patients
Wiggins Primary Care CurrentSince Jan 17, 2015 Accepting new patients
Coastal Family Health Center, Inc Past Accepting new patients
Coastal Family Health Center, Inc. Past Accepting new patients

Locations

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

92 Ratliff St
Lucedale, MS 39452
Phone (601) 947-1330

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

975 Hall St
Wiggins, MS 39577
Phone (601) 528-9119

Interoperability endpoints

  • Direct secure messaging: courtney.burns.d1.p1@direct.cfhc.nextgenshare.com
  • Direct secure messaging: courtneyburns@grh.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1346642428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-947-8181",
            "fax_number": "601-947-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 RATLIFF ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526537",
            "telephone_number": "601-947-8181",
            "fax_number": "601-947-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "COURTNEY",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-21",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R885973",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R885973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "R885973",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GARRIGA",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.