Individual provider Active NPI

Kia Elon Burch, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Tucker, GA
National Provider Identifier
1407311012
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8620 Issued in GA
Practice address
4327 Hugh Howell Rd
Tucker, GA 30084-4739
Phone
(678) 800-1279
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8620 GA Primary

Addresses

Primary practice location

4327 Hugh Howell Rd
Tucker, GA 30084-4739

Mailing address

1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538
Phone (678) 688-9285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20191018002687 GA Practitioner - Physician Assistant 1951632108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
The Womens Center PCGroup PAC ID 9931196516, 4 clinicians

Practice addresses (Care Compare)

13093 Brown Bridge Rd
Covington, GA 30016-9109
Phone (678) 800-1591

1829 Lawrenceville Hwy
Decatur, GA 30033-5728
Phone (404) 292-8335

2750 Owens Dr
Suite a
Conyers, GA 30094

2750 Owens SW Rd
Suite a
Conyers, GA 30094
Phone (678) 413-4644

3551 Satellite Blvd
Duluth, GA 30096-4646
Phone (770) 476-3000

3720 Holcomb Bridge Rd
Norcross, GA 30092-4795
Phone (770) 263-1000

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

4327 Hugh Howell Rd
Tucker, GA 30084-4739
Phone (678) 800-1279

5419 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4101
Phone (678) 284-2067

6000 Hillandale Dr
Lithonia, GA 30058-4858
Phone (770) 461-3776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8620GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Womens Center PC CurrentSince Jul 26, 2025 Accepting new patients
Peachtree Immediate Care UC, LLC PastSince Sep 4, 2022 Accepting new patients

Locations

2750 Owens Rd SW
Ste A
Conyers, GA 30094
Phone (678) 413-4644

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12492/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1407311012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 HIGHWAY 54 W STE 201",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144538",
            "telephone_number": "678-688-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 HUGH HOWELL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844739",
            "telephone_number": "678-800-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "KIA",
        "middle_name": "ELON",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.