Active NPI
Judith Thompson Burgis, M.D.
- Obstetrics & Gynecology Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 15041
- Practice address
- 2 Medical Park Rd Ste 107
Columbia, SC 29203-6839 - Phone
- (803) 545-5700
- Fax
- (803) 434-4699
- NPI assigned
- Apr 12, 2006
- Last updated
- Mar 10, 2021
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15041 | SC | Primary |
Addresses
Primary practice location
2 Medical Park Rd Ste 107
Columbia, SC 29203-6839
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150418 | Medicaid | SC |
Other names 1
- Judith Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Medical University of South Carolina College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Medical Park Rd
Suite 107
Columbia, SC 29203-6839
Phone (803) 545-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Obstetrics & Gynecology | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Obstetrics & Gynecology | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
2 Medical Park Rd
Ste 106
Columbia, SC 29203
Phone (803) 434-4480
2 Medical Park Rd
Ste 107
Columbia, SC 29203
Phone (803) 434-4480
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
9 Richland Medical Park Dr
Ste 620
Columbia, SC 29203
Phone (803) 779-6776
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249
Interoperability endpoints
- jburgis377648@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Obstetrics & Gynecology
-
- Family Medicine Physician
- Sumter, SC
- NPI 1871080283
Obstetrics & Gynecology
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1255395893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK RD STE 107",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036839",
"telephone_number": "803-545-5700",
"fax_number": "803-434-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIS",
"first_name": "JUDITH",
"middle_name": "THOMPSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "15041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150418",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "THOMPSON",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.