NPIMap

Individual provider Active NPI

Scott Burns, PA

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1033870654
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008726 Issued in VA
Practice address
2790 Godwin Blvd Ste 100
Suffolk, VA 23434-8151
Phone
(757) 983-8750
NPI assigned
Jan 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 0110008726 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 100
Suffolk, VA 23434-8151

Mailing address

2790 Godwin Blvd Ste 100
Suffolk, VA 23434-8151
Phone (757) 983-8750

Other practice location 1

700 W Olney Rd
Norfolk, VA 23507-1607
Phone (757) 446-7158

Other names 1

  • Scott A Burns Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117001554 VA Practitioner - Physician Assistant 2860860178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Newport News, VA 23606-2565

2790 Godwin Blvd
Suffolk, VA 23434-8151

2790 Godwin Blvd
Suite 235
Suffolk, VA 23434-8038
Phone (757) 934-4580

2800 Godwin Blvd
Suffolk, VA 23434-8038

301 Riverview Ave
Norfolk, VA 23510-1065

3920 A Bridge Rd
Suffolk, VA 23435-1107

400 Sentara Cir
Williamsburg, VA 23188-5716

400 Sentara Circle
350 Vascular and Transplant Specialists
Williamsburg, VA 23188-5716
Phone (757) 345-4460

713 Volvo Pksy
Ste. 200
Chesapeake, VA 23320-1614
Phone (757) 282-4150

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

844 Kempsville Rd
Norfolk, VA 23502-3927

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110008726VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Nov 7, 2022 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2790 Godwin Blvd
Ste 100
Suffolk, VA 23434
Phone (757) 252-9365

Interoperability endpoints

  • Direct secure messaging: sburns670711@direct.sentara.net

Organizations & group practices 1

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1033870654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-983-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-983-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Olney Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071607",
            "country_code": "US",
            "telephone_number": "757-446-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "BURNS",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.