Individual provider Active NPI

Jennifer Elder Burgart, MD

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1003010463
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-02044 Issued in NC
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

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6039935OtherTNBCBS TENNESSEE
5907686MedicaidNC
PAROtherVACIGNA
PAROtherVAAETNA
PAROtherVAVA HEALTH NETWORK
PAROtherVAFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
1003010463MedicaidVA
2180421OtherVAUHC/MAMSI
-002 -003OtherVATRICARE/CHAMPUS
302884OtherVAANTHEM PFM
PAROtherVAVIRGINIA PREMIER HEALTH
PAROtherVAMULTIPLAN
PAROtherVACORVEL/CORCARE
10022001OtherVASENTARA/OPTIMA
PAROtherVAUSA MANAGED CARE
Q000626MedicaidTN
07868OtherNCBC/BS
302882OtherVAANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
White Oak Family Physicians PAGroup PAC ID 7911993233, 9 clinicians

Practice addresses (Care Compare)

550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 625-1360

Hospital & facility affiliations

  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-02044NCMDFamily Medicine Physician
52437TNMDFamily Medicine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
White Oak Family Physicians, P.a. Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
White Oak Family Physicians, PA Family Medicine CurrentSince Nov 1, 2018 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.