Devonn Lindsey Bourg, MSN, ARNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Milton, FL
NPI 1467919928 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1467919928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11001510 (FL)
- Practice address
- 5370 Lakewood Dr
Milton, FL 32570-6826 - Phone
- (506) 867-7338
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gulf Coast Physician Partners
Practice addresses (Care Compare)
5907 Berryhill Rd
Milton, FL 32570-8278
Phone (850) 623-9787
Hospital & facility affiliations
- Amedisys Home Health
- Santa Rosa Medical Center
- Baptist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190626003239 | FL | Practitioner - Nurse Practitioner | 1759615651 | Reassigns benefits to 2 organizations |
| I20190718002243 | AL | Practitioner - Nurse Practitioner | 1759615651 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Current |
Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| Santa Rosa Hma Physician Management, LLC | Current |
Accepting new patients | |
| Gulf Coast Physician Partners | Family | Current |
Accepting new patients |
| University of South Alabama | Current |
Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
6072 Doctors Park
Milton, FL 32570
Phone (850) 626-5447
5907 Berryhill Rd
Milton, FL 32570
Phone (850) 437-8711
4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001510 | FL | Yes |
Addresses
Primary practice location
5370 Lakewood Dr
Milton, FL 32570-6826
Mailing address
5370 Lakewood Dr
Milton, FL 32570-6826
Phone (850) 686-7733
Other names
- Miss Devonn Lindsey Thompson
Other providers in Milton, FL
- Bloom Perinatal Support, LLC.
- Kaitlyn Marie Boland
- Haley Aliah Bonoyer
- Christopher B Bookout
- Neila Nicholson Bouchard
- Bridget Bovich
- Boyette Home Health Services
- Terance Paul Bracey
- Aubrey M Bradley
- Gary Carl Bradley
All providers in Milton, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.