Angela M Burkett, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN225086 Issued in GA

Practice address

38 S Tallahassee St Ste B
Hazlehurst, GA 31539-6261

Phone

(912) 699-8800

Fax

(912) 699-8801

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jeff Davis Hospital Hospital, Hazlehurst, GA, CCN 111333

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Burkett Family Practice, LLC

  • Primary Care Clinic/Center
  • Hazlehurst, GA
  • NPI 1669180741

  GA

  Medicare reassignment NPD Authorized official
• Medical Wellness Center of Georgia, LLC

  • Family Medicine Physician
  • Ray City, GA
  • NPI 1972003879

  GA

  Medicare reassignment NPD

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

• Hospital Authority of Jeff Davis County Georgia

  • Critical Access Hospital
  • Hazlehurst, GA
  • NPI 1912902263

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1043666860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S TALLAHASSEE ST STE B",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396261",
            "telephone_number": "912-699-8800",
            "fax_number": "912-699-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S TALLAHASSEE ST STE B",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396261",
            "telephone_number": "912-699-8800",
            "fax_number": "912-699-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Burkettfamilypractice.com",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "38 S Tallahassee St Ste B",
            "city": "Hazlehurst",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315396261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Burkettfamilypractice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "38 S Tallahassee St Ste B",
            "city": "Hazlehurst",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315396261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Lee Bowers, FNP-C
• Brian Bridges
• Taylor Marcus Bridges
• Loryn Michele Brown, PHARMD
• Burkett Family Practice, LLC
• Jeffery Miles Butler, M.D.
• Rebecca Maghan Campbell
• Eric Wayne Carelock, FNP-C
• Jennifer Lynn Carelock, NP
• Caitlin Cason, PT,DPT

• All providers in Hazlehurst, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.