Lindsay Mary Burke, PA-C
Individual provider Active NPI Medical Physician Assistant · Murrells Inlet, SC
NPI 1023449170 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1023449170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- TL2036 (SC)
- Practice address
- 12015 Highway 707
Murrells Inlet, SC 29576 - Phone
- (843) 492-9021
- Fax
- (843) 492-9020
- NPI assigned
- Nov 27, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Urgent Cares LLC
Practice addresses (Care Compare)
6167 Braided Mane Pass SW
Aiken, SC 29803-7839
Phone (803) 648-1464
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329002436 | SC | Practitioner - Physician Assistant | 4486951811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL2036 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TL2036 | SC | Yes |
| Physician Assistant | 363A00000X | 2036 | SC |
Addresses
Primary practice location
12015 Highway 707
Murrells Inlet, SC 29576
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Phone (843) 492-9021
Other practice location 1
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6554
Other practice location 2
35 Ray E Talley Ct
Simpsonville, SC 29680-6772
Phone (864) 967-7028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2698PA | Medicaid | SC |
Other providers in Murrells Inlet, SC
- Frances Brown
- Joey Victor Brown
- Jordan Brown
- Rhonda G Brown
- Dennis Charles Burbage Jr.
- Kaitlyn Burnett
- Allison Hope Bussey
- Vered Butbul Benezra
- Scott D. Callaghan
- Vanessa Gentleman Cangialosi
All providers in Murrells Inlet, SC · Medical Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.