Individual provider Active NPI

Albert A Burton, M.D.

  • Interventional Cardiology Physician
  • Vidalia, GA
National Provider Identifier
1629064365
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
80550 Issued in GA
Practice address
101 Harris Industrial Blvd Ste a
Vidalia, GA 30474-8852
Phone
(912) 535-3500
NPI assigned
Sep 27, 2005
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 80550 GA
Cardiovascular Disease Physician 207RC0000X 080550 GA
Cardiovascular Disease Physician 207RC0000X 0101058712 VA
Interventional Cardiology Physician 207RI0011X 80550 GA Primary

Addresses

Primary practice location

101 Harris Industrial Blvd Ste a
Vidalia, GA 30474-8852

Mailing address

101 Harris Industrial Blvd Ste a
Vidalia, GA 30474-8852
Phone (912) 535-3500

Other practice location 1

11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 535-3500

Other practice location 2

195 E Tollison St Ste A-B
Baxley, GA 31513-0172
Phone (912) 533-3500

Other identifiers 2

IdentifierTypeStateIssuer
80550OtherGACARDIOLOGY, INTERVENTIONAL
1629064365MedicaidVA

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
I20180827003115 GA Practitioner - Cardiovascular Disease (Cardiology) 0042374746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

101 Harris Industrial Blvd
Suite a
Vidalia, GA 30474-8852
Phone (912) 538-8484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
76.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80550GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Meadows Multispecialty Associates, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

195 E Tollison St
Ste Ab
Baxley, GA 31513
Phone (912) 533-3500

11 Cross St
Hazlehurst, GA 31539
Phone (912) 375-2884

11 Johnson St
Hazlehurst, GA 31539
Phone (800) 367-0816

101 Harris Industrial Blvd
Ste A
Vidalia, GA 30474
Phone (912) 535-3500

1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003

500 Maple Dr
Vidalia, GA 30474
Phone (912) 535-3500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: albert.burton@hca5.eclinicaldirectplus.com
  • Direct secure messaging: andrew.burton@srpcc.gadirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1629064365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-535-3500",
            "fax_number": "912-535-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-535-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396427",
            "country_code": "US",
            "telephone_number": "912-535-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 E Tollison St Ste A-B",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130172",
            "country_code": "US",
            "telephone_number": "912-533-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ALBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "80550",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "080550",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101058712",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "80550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARDIOLOGY, INTERVENTIONAL",
            "identifier": "80550",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629064365",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.