Active NPI
Tina K Burns, MD
- Family Medicine Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2660497 | Other | TN | CIGNA |
| 4041152 | Other | TN | AETNA |
| 4344868 | Other | TN | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050512000066 | TN | Practitioner - Family Practice | 9133169881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16158 | TN | MD | Social Worker |
| 10707 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Physicians Group PC | Family Medicine | Current | Accepting new patients |
| BMG Family Physicians Group Foundation, Inc | Family Medicine | Past | 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
- https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
- 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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1457344145
-
- Family Medicine Physician
- Memphis, TN
- NPI 1578804142
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.