Individual provider Active NPI

Michael A Burke, M.D.

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1497704274
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
043885 Issued in GA
Practice address
145 Medical Blvd
Stockbridge, GA 30281-5083
Phone
(770) 389-8386
Fax
(770) 507-9576
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 043885 GA Primary

Addresses

Primary practice location

145 Medical Blvd
Stockbridge, GA 30281-5083

Mailing address

145 Medical Blvd
Stockbridge, GA 30281
Phone (770) 389-8386

Other identifiers 1

IdentifierTypeStateIssuer
000761747FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100818001247 GA Practitioner - Orthopedic Surgery 8921132457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians

Practice addresses (Care Compare)

145 Medical Blvd
Stockbridge, GA 30281-5083
Phone (770) 389-8386

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043885GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Orthopaedics & Sports Medicine PC CurrentSince Feb 2, 2002 Accepting new patients
Sutton Orthopaedics & Sports Medicine, P.C. CurrentSince Feb 2, 2002 Accepting new patients
Georgia Bone & Joint, LLC CurrentSince Mar 31, 2023 Accepting new patients
Georgia Bone & Joint, LLC Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients

Locations

125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340

500 Lanier Ave W
Ste 506
Fayetteville, GA 30214
Phone (770) 389-8386

1015 Lafayette Pkwy
Ste 210
Lagrange, GA 30241
Phone (706) 668-4097

1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151

145 Medical Blvd
Stockbridge, GA 30281
Phone (770) 386-8386

Interoperability endpoints

  • Direct secure messaging: mburke@suttonortho.mdlogic.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1497704274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MEDICAL BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-389-8386",
            "fax_number": "770-507-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEDICAL BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815083",
            "telephone_number": "770-389-8386",
            "fax_number": "770-507-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "043885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000761747F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.