Active NPI
Courtney Burns, CFNP
- Family Nurse Practitioner
- Lucedale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R885973
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R885973 | Other | MS | STATE LICENSURE |
Other names 1
- Courtney Garriga
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R885973 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George County Hospital | Current | Accepting new patients | |
| Community Medical Center | Current | Accepting new patients | |
| Inpatient Physician Services | Current | Accepting new patients | |
| Greene County Family Medical Clinic | Current | Accepting new patients | |
| Wiggins Primary Care | Current | 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
- courtney.burns.d1.p1@direct.cfhc.nextgenshare.com
- courtneyburns@grh.medalliesdirect.net
- 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.
-
- Rural Health Clinic/Center
- Lucedale, MS
- NPI 1194734913
-
- Rural Health Clinic/Center
- Leakesville, MS
- NPI 1689821126
-
- Rural Health Clinic/Center
- Wiggins, MS
- NPI 1740293257
-
dba Coastal Family Health Center
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1629066782
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
-
- Hospitalist Physician
- Lucedale, MS
- NPI 1427363928
-
dba Coastal Family Health Center Inc - South Hancock Elementary School Cli
- Federally Qualified Health Center (FQHC)
- Bay St Louis, MS
- NPI 1528849841
-
dba Coastal Family Health Center
- Federally Qualified Health Center (FQHC)
- Gulfport, MS
- NPI 1841220357
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.