Individual provider Active NPI

Fleming Burroughs, MD

  • Internal Medicine Physician
  • Americus, GA
National Provider Identifier
1003982299
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
020968 Issued in GA
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

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00234649BMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000620 GA Practitioner - Internal Medicine 7214973767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020968GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Orthopedic Specialists CurrentSince Jul 1, 2009 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 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.

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

Verify at the official NPI Registry.