Burn and Reconstructive Centers of Tennessee, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BURN AND RECONSTRUCTIVE CENTERS OF TENNESSEE, PLLC

Practice address

3441 Dickerson Pike
Nashville, TN 37207-2539

Phone

(855) 863-9595

Fax

(706) 868-8375

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Shawn Fagan

Title

Owner/MD

Phone

(706) 863-9595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1386218535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12562",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142562",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 DICKERSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072539",
            "telephone_number": "855-863-9595",
            "fax_number": "706-868-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURN AND RECONSTRUCTIVE CENTERS OF TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "706-863-9595"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Burkett
• Laura Burkhart, MD
• Dora Burkitt, RPH,PHARMD,BCPS,BCNS
• Kimberly Shae Burks, CRNA
• Howard L Burley Jr., M.D.
• Maklya Burnam
• Angela Latrice Burnett-Martin, FNP
• Aliyah Burnett
• Leyser S Burnett, MA
• Mary Burnett, CRNFA

• Specialist in Nashville, TN
• Providers in Nashville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.