Shirley Ann Harris, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

041305 Issued in GA

Practice address

3292 Mountain Dr
Suite a
Decatur, GA 30032-1102

Phone

(404) 294-8180

Fax

(404) 294-8188

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Specialists of DekalbGroup PAC ID 6901857499, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shirley.harris@gsod.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IFJGAA/Endpoint/IFJGAA

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.

• Gastroenterology Specialists of Dekalb

  • Gastroenterology Physician
  • Decatur, GA
  • NPI 1144350869
  Medicare reassignment Care Compare group Authorized official
• Decatur Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Decatur, GA
  • NPI 1023252954
  NPD (past) Authorized official
• Gastro Specialists Research Center, LLC

  • Gastroenterology Physician
  • Decatur, GA
  • NPI 1952671984
  Authorized official Same address or phone

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

• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417027277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300310910",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "041305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715371B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "041305",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mardaysha Harris
• Maurice D Harris, MD
• Muslimah Haneefah Harris
• Owen C Harris, L.C.S.W.
• Sheree Harris
• Starr Harris, LPC
• Tauna Harris
• Tyneisha Harris, LPC, CPCS, NCC
• Vernetta Harris, M.D.
• Brett Harrison

• Gastroenterology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.