Active NPI
Anthony Burks
- Home Health Aide
- Elba, AL
National Provider Identifier
1235879842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 859 Claxton Ave N
Elba, AL 36323-1531 - Phone
- (404) 273-2178
- NPI assigned
- Mar 31, 2022
- Last updated
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
859 Claxton Ave N
Elba, AL 36323-1531
Mailing address
859 Claxton Ave N
Elba, AL 36323-1531
Phone (404) 273-2178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 861568627 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Smyrna, GA
- NPI 1881454999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1235879842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 CLAXTON AVE N",
"city": "ELBA",
"state": "AL",
"postal_code": "363231531",
"telephone_number": "404-273-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 CLAXTON AVE N",
"city": "ELBA",
"state": "AL",
"postal_code": "363231531",
"telephone_number": "404-273-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "861568627",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elba, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.