Active NPI
Janella Lynne Thomas-Burse, M.D.
- Gynecology Physician
- College Park, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 043493
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732174576A | Medicaid | GA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcura Health, Inc. | Current | Accepting new patients | |
| Better Health Greater Life LLC | Gynecology | Current | Accepting new patients |
| Medcura Health, Inc. | Current | Accepting new patients | |
| Medcura Health, Inc. | Current | Accepting new patients | |
| Morehouse Healthcare, Inc. | Gynecology | Past | 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
- https://api.platform.athenahealth.com/19308/brand/1/csg/1/fhir/r4
- 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.
-
- Gynecology Physician
- Atlanta, GA
- NPI 1306321476
-
- Federally Qualified Health Center (FQHC)
- Stone Mountain, GA
- NPI 1417011487
-
- Federally Qualified Health Center (FQHC)
- Decatur, GA
- NPI 1144515354
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1811761448
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University dba Emory Crawford Long Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
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
- The Family Health Centers of Georgia, Inc
- The Family Health Centers of Georgia, Inc (The Family Health Center @ North Clayton High School)
- The Healthy Mental LLC
- The Kroger Co (Kroger Pharmacy)
- The Real McCoy Therapy & Consulting LLC
- Andrea Thomas
- Zachary B Thomas, DC
- Brianna Thompson
- To & From Transportation LLC
- Ariel La'Trice Toney, M.S., BCBA, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.