Individual provider Active NPI

Janella Lynne Thomas-Burse, M.D.

  • Gynecology Physician
  • College Park, GA
National Provider Identifier
1164469193
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
043493 Issued in GA
Practice address
1720 Phoenix Blvd
Suite 700
College Park, GA 30349-5594
Phone
(404) 446-4792
Fax
(404) 446-4793
NPI assigned
May 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 043493 GA Primary

Addresses

Primary practice location

1720 Phoenix Blvd
Suite 700
College Park, GA 30349-5594

Mailing address

105 Clearbrook PL SW
Atlanta, GA 30331-8066
Phone (404) 349-8024

Other identifiers 1

IdentifierTypeStateIssuer
732174576AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000724 GA Practitioner - Obstetrics/Gynecology 5496751737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Health Greater Life LLCGroup PAC ID 7810221173, 2 clinicians

Practice addresses (Care Compare)

494 Boulevard SE
Atlanta, GA 30312-3426
Phone (404) 835-7779

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medcura Health, Inc. CurrentSince Jan 29, 2017 Accepting new patients
Better Health Greater Life LLC Gynecology CurrentSince Apr 20, 2019 Accepting new patients
Medcura Health, Inc. Current Accepting new patients
Medcura Health, Inc. CurrentSince Jan 29, 2017 Accepting new patients
Morehouse Healthcare, Inc. Gynecology PastSince Jul 1, 2012 Accepting new patients

Locations

2295 Parklake Dr NE
Ste 500
Atlanta, GA 30345

494 Boulevard SE
Atlanta, GA 30312
Phone (404) 607-1002

977 Taylor St SW
#A
Conyers, GA 30012
Phone (770) 785-5910

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 298-7658

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19308/brand/1/csg/1/fhir/r4
  • Direct secure messaging: janella.thomas-burse.1@19308.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164469193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLEARBROOK PL SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318066",
            "telephone_number": "404-349-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD",
            "address_2": "SUITE 700",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495594",
            "telephone_number": "404-446-4792",
            "fax_number": "404-446-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-BURSE",
        "first_name": "JANELLA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "043493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732174576A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.