Active NPI
Giselle Tricia Burnett-Headley, M.D.
- Pediatrics Physician
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0081336
- Practice address
- 7503 Surratts Rd
Clinton, MD 20735-3358 - Phone
- (301) 877-4288
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0081336 | MD | |
| Pediatrics Physician | 208000000X | D0081336 | MD | Primary |
Addresses
Primary practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Mailing address
4200 Wisconsin Ave NW
Second Floor, Suite 200
Washington, DC 20016-2143
Phone (202) 243-3555
Other names 1
- Giselle Tricia Burnett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0081336 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Southern Maryland Hospital Center Inc | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Past | Accepting new patients |
Locations
4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
4200 Wisconsin Ave NW
Ste 200
Washington, DC 20016
Phone (267) 825-2184
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
Interoperability endpoints
- gburnett50266@direct.metrohealth.org
Organizations & group practices 7
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.
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1033475934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW",
"address_2": "SECOND FLOOR, SUITE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "202-243-3555",
"fax_number": "202-243-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-877-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT-HEADLEY",
"first_name": "GISELLE",
"middle_name": "TRICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0081336",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0081336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GISELLE",
"last_name": "BURNETT",
"middle_name": "TRICIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.