Burton Medical Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

031888 Issued in GA

Legal business name

BURTON MEDICAL CLINIC PC

Practice address

39 Kent Rd
1
Tifton, GA 31794-1649

Phone

(229) 391-3577

NPI assigned

Mar 21, 2007

Last updated

Oct 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerri Luke

Title

Office Manager

Phone

(229) 391-3577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1033235346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KENT RD",
            "address_2": "1",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941649",
            "telephone_number": "229-391-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KENT RD",
            "address_2": "1",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941649",
            "telephone_number": "229-391-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-391-3577"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000398593E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Burgess, CRNA
• Anthony P Burke, D.O.
• Madelyn Massey Burnette
• Taylor Burrage, RD
• James E Burroughs Jr., MBA
• Norris Kent Burton, M.D.
• Lisa M Buschlen, PAC
• Ryan Lawrence Byrnes, D.C.
• C Opeland Health Services, Inc (Accessible Health Care of South GA)
• Candice Dolores Cain, PA-C

• Specialist in Tifton, GA
• Providers in Tifton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.