Active NPI
Clarissa Diann Burns, NP
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN207030
- Practice address
- 1055 Howell Mill Rd NW FL 8
Atlanta, GA 30318-5557 - Phone
- (866) 849-0692
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN207030 | GA | Primary |
| Family Medicine Physician | 207Q00000X | RN207030 | GA | |
| Nurse Practitioner | 363L00000X | 32099 | SC | |
| Nurse Practitioner | 363L00000X | 5024431 | NC |
Addresses
Primary practice location
1055 Howell Mill Rd NW FL 8
Atlanta, GA 30318-5557
Mailing address
245 Juliet Dr
Hampton, GA 30228-4834
Other practice location 1
176 Lyons St
Jackson, GA 30233-2134
Phone (404) 688-1350
Other practice location 2
80 Vinings Dr
McDonough, GA 30253-5994
Phone (770) 302-6780
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
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Vinings Dr
McDonough, GA 30253-5994
Phone (770) 302-6780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207030 | GA | MD | Nurse Practitioner |
| 5024431 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Medical Center, Inc | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| MC Medical LLC | Nurse Practitioner | Current | Accepting new patients |
| Southside Medical Center, Inc. | Current | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942
3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542
125 Pavilion Pkwy
Ste A
Fayetteville, GA 30214
Phone (770) 719-0932
176 Lyons St
Jackson, GA 30233
Phone (770) 504-5566
137 Willow LN
McDonough, GA 30253
Phone (470) 483-0409
80 Vinings Dr
McDonough, GA 30253
Phone (770) 302-6780
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1235123993
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
GA
-
- Federally Qualified Health Center (FQHC)
- Jonesboro, GA
- NPI 1821981234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1568092518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 JULIET DR",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302284834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 HOWELL MILL RD NW FL 8",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185557",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [
{
"address_1": "176 Lyons St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "GA",
"postal_code": "302332134",
"country_code": "US",
"telephone_number": "404-688-1350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Vinings Dr",
"address_purpose": "LOCATION",
"city": "McDonough",
"state": "GA",
"postal_code": "302535994",
"country_code": "US",
"telephone_number": "770-302-6780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS",
"first_name": "CLARISSA",
"middle_name": "DIANN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN207030",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN207030",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "32099",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5024431",
"primary": false
}
],
"identifiers": [],
"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 Jul 6, 2026; 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.