Active NPI
Matthew Jesse Burns, DO
- Emergency Medicine Physician
- Pulaski, TN
National Provider Identifier
1376082933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3992
- Practice address
- 1265 E College St
Pulaski, TN 38478-4541 - Phone
- (931) 363-7531
- NPI assigned
- Feb 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLC
Practice addresses (Care Compare)
1265 E College St
Pulaski, TN 38478-4548
Phone (931) 363-7531
Hospital & facility affiliations
- Southern Tennessee Regional Health System Pulaski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200723001189 | TN | Practitioner - Emergency Medicine | 5496029480 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Single Specialty | Current | Accepting new patients |
| Emergency Coverage Services, PC | Single Specialty | Past | Accepting new patients |
Locations
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3992 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1265 E College St
Pulaski, TN 38478-4541
Mailing address
712 Myhr Dr
Nashville, TN 37221-3529
Phone (918) 805-2111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2020.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1376082933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 MYHR DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372213529",
"telephone_number": "918-805-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 E COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784541",
"telephone_number": "931-363-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "MATTHEW",
"middle_name": "JESSE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-15",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "TN",
"license": "3992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.