NPIMap

Individual provider Active NPI

Fred M. Burdette III, M.D.

  • Specialist
  • Columbus, GA
National Provider Identifier
1508814054
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018618 Issued in GA
Practice address
1920 Warm Springs Rd
Ste 1009
Columbus, GA 31904-8031
Phone
(706) 596-8200
Fax
(706) 571-0207
NPI assigned
May 5, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018618 GA Primary

Addresses

Primary practice location

1920 Warm Springs Rd
Ste 1009
Columbus, GA 31904-8031

Mailing address

1920 Warm Springs Rd
Columbus, GA 31904-8031
Phone (706) 596-8200

Other identifiers 3

IdentifierTypeStateIssuer
000151093KMedicaidGA
154326MedicaidAL
202I782712OtherGAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Gi, LLC Current Accepting new patients
Guardian Medical Services, LLC PastSince Jan 2, 2017 Accepting new patients
Columbus Cardiovascular Surgery, PC Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: f.burdette@rivercityvascular.directbygreenway.com
  • Direct secure messaging: fred.burdette@sfhga.gadirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1508814054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048031",
            "telephone_number": "706-596-8200",
            "fax_number": "706-571-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 WARM SPRINGS RD",
            "address_2": "STE 1009",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048031",
            "telephone_number": "706-596-8200",
            "fax_number": "706-571-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "FRED",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "018618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000151093K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154326",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I782712",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.