Active NPI
Kia Elon Burch, PHYSICIAN ASSISTANT
- Physician Assistant
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8620
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8620 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Womens Center PC | Current | Accepting new patients | |
| Peachtree Immediate Care UC, LLC | Past | Accepting new patients |
Locations
2750 Owens Rd SW
Ste A
Conyers, GA 30094
Phone (678) 413-4644
Interoperability endpoints
- 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.
-
- Gynecology Physician
- Conyers, GA
- NPI 1871654624
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Urgent Care Clinic/Center
- Decatur, GA
- NPI 1235573841
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.