Active NPI
Chelsea Marie Meharry Burgin, MD
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1053571190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30928
- Practice address
- 905 Verdae Blvd Ste 101
Greenville, SC 29607-4098 - Phone
- (864) 286-7550
- Fax
- (864) 286-7551
- NPI assigned
- Jun 12, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30928 | SC | Primary |
Addresses
Primary practice location
905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
1025 Verdae Blvd
Suite B
Greenville, SC 29607-4032
Phone (864) 286-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309287 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- chelsea.burgin@570998389211140.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1053571190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 VERDAE BLVD STE 101",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074098",
"telephone_number": "864-286-7550",
"fax_number": "864-286-7551"
}
],
"practiceLocations": [
{
"address_1": "1025 Verdae Blvd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296074032",
"country_code": "US",
"telephone_number": "864-286-7550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGIN",
"first_name": "CHELSEA",
"middle_name": "MARIE MEHARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "30928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309287",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.