Tonya Ann Burgamy, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN170259 Issued in GA

Practice address

6501 Peake Rd Ste 400
Macon, GA 31210-8046

Phone

(478) 477-0966

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tonya Ann Hubbard Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Primary Care, LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1225551328
  Medicare reassignment NPD
• Southern Primary Care, LLC

  • Clinical Medical Laboratory
  • West Palm Beach, FL
  • NPI 1245111814
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1275274185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2465",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310322465",
            "telephone_number": "478-955-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD STE 400",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108046",
            "telephone_number": "478-477-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Willie Lee Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310889245",
            "country_code": "US",
            "telephone_number": "478-477-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGAMY",
        "first_name": "TONYA",
        "middle_name": "ANN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "HUBBARD",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christy Bullard, CCC-SLP
• Victoria Burdeshaw, LCSW
• David L Burdett, RT, MR
• Sara Pleasants Burdette, NP
• Edmund T Burdo, PA-AA
• Christina Nicole Burgess
• Rachel Harris Burke, MD
• Joseph J Burnette, M.D.
• Sharon Denise Burnette, NP
• Kelsey Burnham, LMFT

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.