Active NPI
Gregory L. Burke, PA
- Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2771
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (877) 263-8651
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 2771 | GA | |
| Physician Assistant | 363A00000X | 2771 | GA | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Mailing address
PO Box 2326
Indianapolis, IN 46206-2326
Phone (877) 263-8651
Other practice location 1
1805 Parke Plaza Circle, Suite 103
Northlake Pediatric Associates
Stone Mountain, GA 30087
Phone (770) 498-9355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000899A | Medicaid | GA | |
| 100000899B | Medicaid | GA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.48 of 100
- Quality
- 84.83
- Improvement activities
- 40
- Cost
- 79.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002771 | GA | MD | Professional Counselor |
| 2771 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Past | Accepting new patients | |
| Northlake Pediatric Associates,PC | Pediatrics | Past | Accepting new patients |
| Cobb Hospital, Inc | Past | Accepting new patients | |
| Radiology Associates of Dekalb PC | Past | Accepting new patients | |
| Quantum Radiology, PC | Past | Accepting new patients |
Interoperability endpoints
- gburke60041@direct.emory.org
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1528043718
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Pediatrics Physician
- Stone Mountain, GA
- NPI 1518174036
-
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1366495988
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1245206119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1508841792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2326",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462062326",
"telephone_number": "877-263-8651",
"fax_number": "888-525-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "877-263-8651"
}
],
"practiceLocations": [
{
"address_1": "1805 Parke Plaza Circle, Suite 103",
"address_2": "Northlake Pediatric Associates",
"address_purpose": "LOCATION",
"city": "Stone Mountain",
"state": "GA",
"postal_code": "30087",
"country_code": "US",
"telephone_number": "770-498-9355",
"fax_number": "770-498-6294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "GREGORY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "2771",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "2771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000899A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000899B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.