Active NPI
Jason Burch, MD
- General Practice Physician
- Gainesville, GA
National Provider Identifier
1306106349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 077661
- Practice address
- 8855 Bethel Rd
Gainesville, GA 30506-3961 - Phone
- (518) 232-8993
- NPI assigned
- May 24, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 077661 | GA | Primary |
Addresses
Primary practice location
8855 Bethel Rd
Gainesville, GA 30506-3961
Mailing address
8855 Bethel Rd
Gainesville, GA 30506-3961
Phone (518) 232-8993
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077661 | GA | MD | General Practice Physician |
Interoperability endpoints
- jason.burch@25253881.chartlogic.direct-ci.com
- ms_jburch22@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1306106349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8855 BETHEL RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305063961",
"telephone_number": "518-232-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8855 BETHEL RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305063961",
"telephone_number": "518-232-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "077661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.