William Elton Burnett, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

020413 Issued in GA

Practice address

2150 Boggs Rd
Suite 250
Duluth, GA 30096-5890

Phone

(404) 697-6695

Fax

(678) 957-0887

NPI assigned

Jun 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1225233729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 MALL OF GEORGIA BLVD",
            "address_2": "SUITE 207",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198761",
            "telephone_number": "404-697-6695",
            "fax_number": "678-957-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BOGGS RD",
            "address_2": "SUITE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965890",
            "telephone_number": "404-697-6695",
            "fax_number": "678-957-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "WILLIAM",
        "middle_name": "ELTON",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "020413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00208392A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ty A. Bullington, NP
• Asaf Bullkich, OD
• Daniela Burciu
• Khemiah Burke
• Shelton Keith Burlison, DMD
• Madison Burr, PA-C
• Burrell Arkwright Comprehensive Services
• Jaeanna Lee Divine Burrell
• Vivian Burrell, LCSW
• Brandon William Burroway, MD

• Family Medicine Physician in Duluth, GA
• Providers in Duluth, 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 19, 2009; 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.