Active NPI
Fleming Burroughs, MD
- Internal Medicine Physician
- Americus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 020968
- Practice address
- 715 N Lee St
Americus, GA 31719 - Phone
- (229) 928-0545
- Fax
- (229) 928-2567
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 020968 | GA | Primary |
Addresses
Primary practice location
715 N Lee St
Americus, GA 31719
Mailing address
715 N Lee St
Pob 1717
Americus, GA 31719
Phone (229) 924-2149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00234649B | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020968 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Orthopedic Specialists | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients |
Locations
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647
715 N Lee St
Americus, GA 31719
Phone (229) 928-0545
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
701 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 825-0023
Organizations & group practices 2
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinic/Center
- Albany, GA
- NPI 1871891127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1003982299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N LEE ST",
"address_2": "POB 1717",
"city": "AMERICUS",
"state": "GA",
"postal_code": "31719",
"telephone_number": "229-924-2149",
"fax_number": "229-928-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N LEE ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "31719",
"telephone_number": "229-928-0545",
"fax_number": "229-928-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "FLEMING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "020968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00234649B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.