Individual provider Active NPI

Cynthia Lonigan Burkes, P.A.

  • Medical Physician Assistant
  • Coats, NC
National Provider Identifier
1104846112
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
102972 Issued in NC
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0123LOtherNCBCBS ID NUMBER
89014N5MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Kurt G Vernon MD PA CurrentSince Jun 26, 2017 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.