Individual provider Active NPI

Matthew Jesse Burns, DO

  • Emergency Medicine Physician
  • Pulaski, TN
National Provider Identifier
1376082933
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3992 Issued in TN
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 761 clinicians

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 Hospital, Pulaski, TN, CCN 440020

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Single Specialty CurrentSince Aug 1, 2020 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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 3992 TN Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.