Active NPI
Jennifer Elder Burgart, MD
- Family Medicine Physician
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2012-02044
- Practice address
- 550 White Oak St
Asheboro, NC 27203-4710 - Phone
- (336) 625-1360
- NPI assigned
- Jun 12, 2007
- 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 Medicine Physician | 207Q00000X | 52437 | TN | |
| Family Medicine Physician | 207Q00000X | 2012-02044 | NC | Primary |
Addresses
Primary practice location
550 White Oak St
Asheboro, NC 27203-4710
Mailing address
550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 625-1360
Other practice location 1
208 E Peach St
Martin, TN 38237-3530
Phone (731) 587-2525
Other practice location 2
1312 Bishop St
Union City, TN 38261-5406
Phone (731) 587-2525
Other practice location 3
300 W Peach St
Martin, TN 38237-3949
Phone (731) 587-2525
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6039935 | Other | TN | BCBS TENNESSEE |
| 5907686 | Medicaid | NC | |
| PAR | Other | VA | CIGNA |
| PAR | Other | VA | AETNA |
| PAR | Other | VA | VA HEALTH NETWORK |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY |
| 1003010463 | Medicaid | VA | |
| 2180421 | Other | VA | UHC/MAMSI |
| -002 -003 | Other | VA | TRICARE/CHAMPUS |
| 302884 | Other | VA | ANTHEM PFM |
| PAR | Other | VA | VIRGINIA PREMIER HEALTH |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | CORVEL/CORCARE |
| 10022001 | Other | VA | SENTARA/OPTIMA |
| PAR | Other | VA | USA MANAGED CARE |
| Q000626 | Medicaid | TN | |
| 07868 | Other | NC | BC/BS |
| 302882 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130320000432 | NC | Practitioner - Family Practice | 6204928815 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Eastern Virginia Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 625-1360
Hospital & facility affiliations
- Randolph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-02044 | NC | MD | Family Medicine Physician |
| 52437 | TN | MD | Family Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Family Physicians, P.a. | Family Medicine | Current | Accepting new patients |
| White Oak Family Physicians, PA | Family Medicine | Current | Accepting new patients |
| White Oak Family Physicians, PA | Family Medicine | Past | Accepting new patients |
| Appalachian Regional Medical Associates, Inc. | Family Medicine | Past | Accepting new patients |
Locations
550 White Oak St
Asheboro, NC 27203
Phone (336) 483-3001
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/57643
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Asheboro, NC
- NPI 1093762577
Family Medicine, NC
-
- Emergency Medicine Physician
- Asheboro, NC
- NPI 1922193622
Family Medicine
-
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Family Medicine
-
- Emergency Medicine Physician
- Randleman, NC
- NPI 1104925072
Family Medicine
Hospital & facility affiliations 1
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": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1003010463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 WHITE OAK ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034710",
"telephone_number": "336-625-1360",
"fax_number": "336-625-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WHITE OAK ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034710",
"telephone_number": "336-625-1360"
}
],
"practiceLocations": [
{
"address_1": "208 E Peach St",
"address_purpose": "LOCATION",
"city": "Martin",
"state": "TN",
"postal_code": "382373530",
"country_code": "US",
"telephone_number": "731-587-2525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1312 Bishop St",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "TN",
"postal_code": "382615406",
"country_code": "US",
"telephone_number": "731-587-2525",
"fax_number": "731-587-2555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W Peach St",
"address_purpose": "LOCATION",
"city": "Martin",
"state": "TN",
"postal_code": "382373949",
"country_code": "US",
"telephone_number": "731-587-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGART",
"first_name": "JENNIFER",
"middle_name": "ELDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "52437",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2012-02044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TENNESSEE",
"identifier": "6039935",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907686",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003010463",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "2180421",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-002 -003",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PFM",
"identifier": "302884",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "10022001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000626",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "07868",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "302882",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.