Richard Burrell, PA-C, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7565 Issued in GA

Practice address

1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7933

Phone

(912) 262-6552

NPI assigned

May 11, 2015

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Center of Southeast Georgia LLCGroup PAC ID 0143294231, 3 clinicians

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rburrell@nationalspine.emadirect.md

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.

• Spine Center of Southeast Georgia LLC

  • Interventional Pain Medicine Physician
  • Brunswick, GA
  • NPI 1639270903
  Medicare reassignment Care Compare group
• H2 Rehabilitation Services of Florida, LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Saint Marys, GA
  • NPI 1851661045
  Care Compare group
• Spine Center of Southeast Georgia LLC

  • Interventional Pain Medicine Physician
  • Kingsland, GA
  • NPI 1477106771
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1265810204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 300",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257933",
            "telephone_number": "912-262-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 300",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257933",
            "telephone_number": "912-262-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Glynn Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204851",
            "country_code": "US",
            "telephone_number": "912-265-9006",
            "fax_number": "912-554-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "RICHARD",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mulugeta Teka Bulti
• Oana Radu Bulugean, M.D.
• Iris Heather Burandt, FNP
• Candice Burns, RN
• Rosemary Akweley Burns, LPC
• Benjamin Burton
• Michael Butler
• Ashley Button, CERTIFIED DOULA
• Veronica Denise Cain
• Charles Wynter Callender, M.D.

• Physician Assistant in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.