Amy Burbage

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1-073713 Issued in AL

Practice address

1845 Cherry St
Montgomery, AL 36107-2613

Phone

(334) 420-5001

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Health Services Inc

  dba Montevallo Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Montevallo, AL
  • NPI 1891257390
  Medicare reassignment NPD
• Lucius Bedford Freeman, MD

  • Family Medicine Physician
  • Prattville, AL
  • NPI 1003855560
  Medicare reassignment
• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  NPD
• Health Services Inc

  dba Autaugaville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Autaugaville, AL
  • NPI 1992727853
  NPD
• Health Services, Inc

  dba Montgomery Primary Care

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1528082336
  NPD
• Health Services, Inc.

  dba Living Well Specialty Clinic

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD
• Matthew G Freeman MD LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1992954440
  NPD (past)

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

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Prattville Baptist Hospital

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1407418171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 WYNHAVEN DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360677182",
            "telephone_number": "334-320-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-420-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBAGE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-073713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Spurlin Bundy, RPH
• Lisa Munsch Bundy, M.D.
• Sanfra Bunke, CRNA
• Andrew Joseph Burandt, D.O.
• Allena M Burbage, ALC
• Morgan L Burbage, RBT
• Ellen Shea Burch-Burkhalter, PA-C
• Brylee R Burch
• Ruby P. Burden, MSN, NP-C
• Mark Burger

• Family Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.

Verify at the official NPI Registry.