Individual provider Active NPI

John N. Burling, M.D.

  • Internal Medicine Physician
  • Okatie, SC
National Provider Identifier
1649292079
Registry record updated Mar 28, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective May 19, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30355 Issued in SC
Practice address
14 Okatie Center Blvd. South
Suite 101
Okatie, SC 29909
Phone
(803) 358-6100
Fax
(843) 705-3828
NPI assigned
Jul 24, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 043175 GA
Emergency Medicine Physician 207P00000X 30355 SC
Internal Medicine Physician 207R00000X 043175 GA
Internal Medicine Physician 207R00000X 30355 SC Primary

Addresses

Primary practice location

14 Okatie Center Blvd. South
Suite 101
Okatie, SC 29909

Mailing address

811 West Main Street
Lexington, SC 29072
Phone (803) 358-6100

Other identifiers 6

IdentifierTypeStateIssuer
P00456203OtherSCRR MEDICARE
000735204COtherGAGA MEDICAID - SAVANNAH U/O
000735204DOtherGAGA MEDICAID - POOLER U/O
303558MedicaidSC
582162071-024OtherSCBCBSSC
P00819768OtherGARR MEDICARE (URGENTONE)

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043175GAMDEmergency Medicine Physician
30355SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District, Inc. Past Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Memorial Health Urgentone, Inc. Emergency Medicine Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1649292079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WEST MAIN STREET",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-358-6100",
            "fax_number": "843-705-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OKATIE CENTER BLVD. SOUTH",
            "address_2": "SUITE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "803-358-6100",
            "fax_number": "843-705-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLING",
        "first_name": "JOHN",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "043175",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "30355",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043175",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "30355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00456203",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAID - SAVANNAH U/O",
            "identifier": "000735204C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAID - POOLER U/O",
            "identifier": "000735204D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303558",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSSC",
            "identifier": "582162071-024",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (URGENTONE)",
            "identifier": "P00819768",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.