Individual provider Active NPI

Tammy Rena Burke, NP

  • Nurse Practitioner
  • Salisbury, NC
National Provider Identifier
1376821561
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005254 Issued in NC
Practice address
330 Jake Alexander Blvd W Ste 104
Salisbury, NC 28147-1385
Phone
(704) 645-0901
NPI assigned
Jul 22, 2011
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0611711 NC
Nurse Practitioner 363L00000X 5005254 NC Primary

Addresses

Primary practice location

330 Jake Alexander Blvd W Ste 104
Salisbury, NC 28147-1385

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181 ext. 164

Other identifiers 1

IdentifierTypeStateIssuer
7005087MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20111130000072 NC Practitioner - Nurse Practitioner 8729252895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

320 Jake Alexander Blvd W
Suite 106
Salisbury, NC 28147-1442
Phone (704) 636-0052

330 Billingsley Rd
Suite 101
Charlotte, NC 28211-5020
Phone (704) 316-2335

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005254NCMDNurse Practitioner
F0611711NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 25, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 25, 2025 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Northcross Pain Center PastSince Feb 16, 2012 Accepting new patients
Carolina Pain and Weight Loss, PA Nurse Practitioner Past Accepting new patients
Carolinas Pain Institute, PA Past Accepting new patients

Locations

330 Billingsley Rd
Ste 101
Charlotte, NC 28211
Phone (704) 316-2333

1224 Commerce St SW
Ste A
Conover, NC 28613
Phone (828) 261-0467

330 Jake Alexander Blvd W
Ste 104
Salisbury, NC 28147
Phone (704) 645-0901

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: tburke126092@direct.novanthealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1376821561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JAKE ALEXANDER BLVD W STE 104",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471385",
            "telephone_number": "704-645-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Kimel Park Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036972",
            "country_code": "US",
            "telephone_number": "336-765-6181 x164",
            "fax_number": "336-760-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "TAMMY",
        "middle_name": "RENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F0611711",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.