Individual provider Active NPI

Joseph J Burnette, M.D.

  • Surgery Physician
  • Macon, GA
National Provider Identifier
1205823911
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
033286 Issued in GA
Practice address
420 Charter Blvd
Suite 302
Macon, GA 31210-4854
Phone
(478) 330-6755
Fax
(478) 330-6759
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 033286 GA Primary

Addresses

Primary practice location

420 Charter Blvd
Suite 302
Macon, GA 31210-4854

Mailing address

420 Charter Blvd
Suite 302
Macon, GA 31210-4854
Phone (478) 330-6755

Other identifiers 1

IdentifierTypeStateIssuer
003126405AMedicaidGA

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
I20100826000715 GA Practitioner - General Surgery 3476647082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Charter Blvd
Suite 302
Macon, GA 31210-0720
Phone (478) 330-6755

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033286GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Burnette, LLC Surgery CurrentSince Jul 1, 2012 Accepting new patients

Locations

420 Charter Blvd
Ste 302
Macon, GA 31210
Phone (478) 330-6755

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIIBA/Endpoint/AHIIBA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1205823911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD",
            "address_2": "SUITE 302",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104854",
            "telephone_number": "478-330-6755",
            "fax_number": "478-330-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD",
            "address_2": "SUITE 302",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104854",
            "telephone_number": "478-330-6755",
            "fax_number": "478-330-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "033286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126405A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.