Organization Active NPI

N Kent Burton Medical Director

  • Specialist
  • Tifton, GA
National Provider Identifier
1497094106
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031888 Issued in GA
Legal business name
N KENT BURTON MEDICAL DIRECTOR
Practice address
2401 Ridge Ave N
Tifton, GA 31794-2846
Phone
(229) 392-8520
Fax
(229) 391-3578
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Norris K Burton
Title
Owner/Physician
Phone
(229) 392-8520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 031888 GA Primary

Addresses

Primary practice location

2401 Ridge Ave N
Tifton, GA 31794-2846

Mailing address

2401 Ridge Avenue North
Tifton, GA 31794

Other identifiers 1

IdentifierTypeStateIssuer
1578558805OtherGANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1497094106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RIDGE AVENUE NORTH",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RIDGE AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942846",
            "telephone_number": "229-392-8520",
            "fax_number": "229-391-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N KENT BURTON MEDICAL DIRECTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "229-392-8520"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "031888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578558805",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.