Individual provider Active NPI

Gerriann Burton, NP

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1265166938
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016701 Issued in NC
Practice address
11 Office Park Dr
Jacksonville, NC 28546-7326
Phone
(910) 353-9906
NPI assigned
Jul 10, 2022
Last updated
Dec 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016701 NC Primary

Addresses

Primary practice location

11 Office Park Dr
Jacksonville, NC 28546-7326

Mailing address

211 Parnell Rd
Hubert, NC 28539-4523
Phone (830) 203-8745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327002121 NC Practitioner - Nurse Practitioner 3173046497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5016701NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Water Medical, PA CurrentSince Jan 6, 2025 Accepting new patients
Open Water Medical, PA CurrentSince Jan 6, 2025 Accepting new patients
Star Medical Clinic PLLC PastSince Aug 1, 2022 Accepting new patients

Locations

1620 Live Oak St
Ste C
Beaufort, NC 28516
Phone (252) 728-5737

1620C Live Oak St
Beaufort, NC 28516
Phone (252) 728-5737

11 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-9906

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.

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1265166938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PARNELL RD",
            "city": "HUBERT",
            "state": "NC",
            "postal_code": "285394523",
            "telephone_number": "830-203-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467326",
            "telephone_number": "910-353-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "GERRIANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.