Individual provider Active NPI

Tina K Burns, MD

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1437142122
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16158 Issued in TN
Practice address
7655 Poplar Ave
BLDG a, Suite 155
Germantown, TN 38138-3957
Phone
(901) 752-2300
Fax
(901) 516-1391
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16158 TN Primary
Family Medicine Physician 207Q00000X 10707 MS

Addresses

Primary practice location

7655 Poplar Ave
BLDG a, Suite 155
Germantown, TN 38138-3957

Mailing address

PO Box 1000
Dept # 978
Memphis, TN 38148-0001
Phone (901) 516-0881

Other identifiers 3

IdentifierTypeStateIssuer
2660497OtherTNCIGNA
4041152OtherTNAETNA
4344868OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000066 TN Practitioner - Family Practice 9133169881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16158TNMDSocial Worker
10707MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians Group PC Family Medicine Current Accepting new patients
BMG Family Physicians Group Foundation, Inc Family Medicine PastSince Aug 1, 2020 Accepting new patients

Locations

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310

2859 Van Leer Dr
Memphis, TN 38133
Phone (901) 751-5513

2900 Kirby Rd
Ste 6
Memphis, TN 38119
Phone (901) 759-4745

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
  • Direct secure messaging: tburns33795@mlh.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1437142122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT # 978",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-516-0881",
            "fax_number": "901-516-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE",
            "address_2": "BLDG A, SUITE 155",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383957",
            "telephone_number": "901-752-2300",
            "fax_number": "901-516-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TINA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "16158",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2660497",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4041152",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4344868",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.