Active NPI
Cynthia Lonigan Burkes, P.A.
- Medical Physician Assistant
- Coats, NC
National Provider Identifier
1104846112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 102972
- Practice address
- 25 North Johnson Street
Coats, NC 27521 - Phone
- (910) 897-6423
- Fax
- (910) 897-2540
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 102972 | NC | Primary |
Addresses
Primary practice location
25 North Johnson Street
Coats, NC 27521
Mailing address
PO Box 819
Coats, NC 27521-0819
Phone (910) 897-6423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123L | Other | NC | BCBS ID NUMBER |
| 89014N5 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100225000363 | NC | Practitioner - Physician Assistant | 5294879417 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kurt G Vernon MD PA | Current | Accepting new patients | |
| Coats Medical Clinic, PA | Past | Accepting new patients |
Locations
904 W Broad St
Ste D
Dunn, NC 28334
Phone (910) 891-5808
Interoperability endpoints
- https://177472a4-574c-4a73-8deb-a3663624cdb8.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 3
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.
-
- Endoscopy Clinic/Center
- Fuquay Varina, NC
- NPI 1922444520
-
- Specialist
- Coats, NC
- NPI 1366428195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104846112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "COATS",
"state": "NC",
"postal_code": "275210819",
"telephone_number": "910-897-6423",
"fax_number": "910-897-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NORTH JOHNSON STREET",
"city": "COATS",
"state": "NC",
"postal_code": "27521",
"telephone_number": "910-897-6423",
"fax_number": "910-897-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKES",
"first_name": "CYNTHIA",
"middle_name": "LONIGAN",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID NUMBER",
"identifier": "0123L",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014N5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coats, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.