John William Burdeshaw

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3916 Valley Rd
Columbus, GA 31907-5657

Phone

(706) 593-3497

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1225678386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 VALLEY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075657",
            "telephone_number": "706-593-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 VALLEY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075657",
            "telephone_number": "706-593-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDESHAW",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jburdeshaw@nhbh.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3916 Valley Rd",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319075657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Noah Burch, RBT
• Sharmain T Burch
• Stevie Burch
• Armanger Millicent Burden
• Emily Burden, RN
• Fred M. Burdette III, M.D.
• Janine Burgher-Jones, M.D.
• Deidra Burke
• Natalie Burke
• Elizabeth Mae Burkett, PA-C

• Peer Specialist in Columbus, GA
• Providers in Columbus, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.