Active NPI
Austin W Burgess, MD
- Emergency Medicine Physician
- Morehead City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 3500 Arendell St
Morehead City, NC 28557-2901 - Phone
- (252) 808-6589
- Fax
- (252) 808-6947
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NC | Primary |
Addresses
Primary practice location
3500 Arendell St
Morehead City, NC 28557-2901
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89133HK | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5733
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.83 of 100
- Quality
- 88.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200201565 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Medicine Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Genesee County, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Craven County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
Interoperability endpoints
- aburgess1119471@direct.hfhs.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1194084111
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1275899171
-
- Emergency Medicine Physician
- New Bern, NC
- NPI 1164462586
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073650826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 ARENDELL ST",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572901",
"telephone_number": "252-808-6589",
"fax_number": "252-808-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "AUSTIN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89133HK",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.