Individual provider Active NPI

Claude A Burnett III, M.D.

  • Public Health & General Preventive Medicine Physician
  • Athens, GA
National Provider Identifier
1609901198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
016885 Issued in GA
Practice address
345 N Harris St
Athens, GA 30601-2411
Phone
(706) 542-8600
Fax
(706) 542-9754
NPI assigned
Feb 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 016885 GA Primary

Addresses

Primary practice location

345 N Harris St
Athens, GA 30601-2411

Mailing address

220 Research Dr
Athens, GA 30605-2738
Phone (706) 583-2870

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
I20141103001567 GA Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 8921080342

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County Family Planning PastSince Jun 22, 2014 Accepting new patients
Madison County Health Department PastSince Jan 1, 2011 Accepting new patients
Greene County Health Department PastSince Mar 1, 2012 Accepting new patients
Elbert County Health Department PastSince Jan 1, 2000 Accepting new patients
Board of Health Walton County PastSince Jan 9, 2016 Accepting new patients
Oconee County Health Department PastSince May 1, 1993 Accepting new patients
Clarke County Department of Health PastSince Jan 2, 2007 Accepting new patients
County of Barrow Health Department PastSince Jan 1, 2000 Accepting new patients
Jackson County Health Department PastSince Oct 1, 1978 Accepting new patients

Organizations & group practices 10

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609901198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RESEARCH DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052738",
            "telephone_number": "706-583-2870",
            "fax_number": "706-548-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N HARRIS ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012411",
            "telephone_number": "706-542-8600",
            "fax_number": "706-542-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CLAUDE",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "016885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.