Active NPI
Beryle Burnett
- Social Worker
- Atlanta, GA
National Provider Identifier
1629411590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0046
- Practice address
- 1225 Capitol Ave SW
Atlanta, GA 30315-2707 - Phone
- (404) 612-1408
- Fax
- (404) 893-6445
- NPI assigned
- Apr 10, 2013
- Last updated
- Apr 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0046 | GA | Primary |
Addresses
Primary practice location
1225 Capitol Ave SW
Atlanta, GA 30315-2707
Mailing address
4350 Wesley Dr
Austell, GA 30106-1677
Phone (704) 222-9883
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0046 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1629411590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 WESLEY DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061677",
"telephone_number": "704-222-9883",
"fax_number": "404-893-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 CAPITOL AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303152707",
"telephone_number": "404-612-1408",
"fax_number": "404-893-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "BERYLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "0046",
"primary": true
}
],
"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 Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.