Organization Active NPI

Jolita C Burns MD LLC

  • Specialist
  • Tallahassee, FL
National Provider Identifier
1467522441
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME88050 Issued in FL
Legal business name
JOLITA C BURNS MD LLC
Practice address
1885 Professional Park Cir
Suite 10
Tallahassee, FL 32308-4572
Phone
(850) 656-0302
Fax
(850) 656-6110
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Jolita C Burns, MD
Title
President
Phone
(850) 656-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME88050 FL Primary

Addresses

Primary practice location

1885 Professional Park Cir
Suite 10
Tallahassee, FL 32308-4572

Mailing address

1885 Professional Park Cir
Suite 10
Tallahassee, FL 32308-4572
Phone (850) 656-0302

Other identifiers 2

IdentifierTypeStateIssuer
81058OtherFLBLUE CROSS BLUE SHIELD
340397100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1885 Professional Park Cir
Ste 10
Tallahassee, FL 32308
Phone (850) 656-0302

1842B Jaclif Ct
Tallahassee, FL 32308
Phone (850) 656-0302

2711 Capital Medical Blvd
Ste C
Tallahassee, FL 32308
Phone (850) 656-0302

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1467522441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 PROFESSIONAL PARK CIR",
            "address_2": "SUITE 10",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084572",
            "telephone_number": "850-656-0302",
            "fax_number": "850-656-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 PROFESSIONAL PARK CIR",
            "address_2": "SUITE 10",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084572",
            "telephone_number": "850-656-0302",
            "fax_number": "850-656-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLITA C BURNS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JOLITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-656-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81058",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340397100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.