Individual provider Active NPI

Stephen Daryl Burton, PA-C

  • Physician Assistant
  • Athens, GA
National Provider Identifier
1033457304
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6704 Issued in GA
Practice address
125 King Ave
Athens, GA 30606-6734
Phone
(706) 549-1663
Fax
(706) 546-8792
NPI assigned
Jan 22, 2013
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6704 GA Primary

Addresses

Primary practice location

125 King Ave
Athens, GA 30606-6734

Mailing address

1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663

Other practice location 1

1765 Old West Broad St
Athens, GA 30606-2853
Phone (706) 549-1663

Other practice location 2

3440 Highway 81
Loganville, GA 30052-9112
Phone (770) 554-5009

Other identifiers 1

IdentifierTypeStateIssuer
12546405OtherCAQH NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.burton.1@28045.direct.athenahealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000337 GA Practitioner - Physician Assistant 3678718517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Orthopedic Clinic, PAGroup PAC ID 5991600181, 70 clinicians

Practice addresses (Care Compare)

125 King Ave
Athens, GA 30606-6734
Phone (706) 549-1663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6704GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Orthopedic Clinic, PA CurrentSince Jan 7, 2013 Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients

Locations

125 King Ave
Athens, GA 30606

1765 Old West Broad St
Athens, GA 30606
Phone (706) 548-6881

1765 Old West Broad St
Bldg 2
Athens, GA 30606
Phone (706) 548-6881

1765 Old West Broad St
Bldg 2-200
Athens, GA 30606
Phone (706) 433-4088

1765 Old West Broad St
Ste 200
Athens, GA 30606
Phone (706) 433-4088

3440 Highway 81
Loganville, GA 30052
Phone (770) 554-5009

Interoperability endpoints

  • Direct secure messaging: sburton@aoc1036.srs-direct.com
  • Direct secure messaging: stephen.burton.1@28045.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1033457304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST BLDG 2-200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062887",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066734",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 Old West Broad St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062853",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Highway 81",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300529112",
            "country_code": "US",
            "telephone_number": "770-554-5009",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "STEPHEN",
        "middle_name": "DARYL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "12546405",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.burton.1@28045.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "address_1": "125 King Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306066734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.