The Burney Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

055931 Issued in GA

Legal business name

THE BURNEY MEDICAL GROUP, LLC

Doing business as

Camp Creek Urgent and Family Care Center

Practice address

3890 Redwine Rd SW
Suite 104
Atlanta, GA 30331-5509

Phone

(404) 629-9495

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nitasha Larisma Burney, M.D.NPI 1083665491

Title

Physician

Phone

(404) 629-9495

Specialties & licenses 1

Addresses

Other names 1

• Camp Creek Urgent and Family Care Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nitasha Larisma Burney, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1083665491
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124163266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90494",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303640494",
            "telephone_number": "404-629-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-629-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BURNEY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "NITASHA",
        "authorized_official_middle_name": "LARISMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-629-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Creek Urgent and Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.