Individual provider Active NPI

Tonya M Burnett, NP-C

  • Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1114222668
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN155040 Issued in GA
Practice address
821 N Cobb St
Emergency Dept.
Milledgeville, GA 31061-2343
Phone
(478) 454-3795
Fax
(478) 454-3969
NPI assigned
Jan 13, 2011
Last updated
Jan 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN155040 GA Primary

Addresses

Primary practice location

821 N Cobb St
Emergency Dept.
Milledgeville, GA 31061-2343

Mailing address

821 N Cobb St
Emergency Dept.
Milledgeville, GA 31061-2343
Phone (478) 454-3795

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110324000227 GA Practitioner - Nurse Practitioner 4082897392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Group, LLC Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
Convenient Care MD, LLC Past Accepting new patients
Synergetic Healings LLC Past Accepting new patients

Locations

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

Interoperability endpoints

  • Direct secure messaging: tonya.burnett@oconeeregional.gadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1114222668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "address_2": "EMERGENCY DEPT.",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-454-3795",
            "fax_number": "478-454-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "address_2": "EMERGENCY DEPT.",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-454-3795",
            "fax_number": "478-454-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "TONYA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN155040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.