Active NPI
Logan Burgess, M.D.
- Interventional Pain Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 55535
- Practice address
- 1364 Clifton Road, NE
Office T5L38
Atlanta, GA 30322 - Phone
- (404) 778-4756
- NPI assigned
- Mar 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | 55535 | KY | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | TP095 | KY |
Addresses
Primary practice location
1364 Clifton Road, NE
Office T5L38
Atlanta, GA 30322
Mailing address
7145 E Virginia St Ste 2000
Evansville, IN 47715-9147
Phone (812) 962-7894
Other practice location 1
2700 Old Rosebud Rd Ste 350
Lexington, KY 40509-8630
Phone (502) 352-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Kentucky College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1760 Nicholasville Rd
Suite 302
Lexington, KY 40503-1454
Phone (859) 260-2766
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12603 | GA | MD | Professional Counselor |
| 55535 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1760 Nicholasville Rd
Ste 302
Lexington, KY 40503
Phone (859) 260-2766
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1649632183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST STE 2000",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159147",
"telephone_number": "812-962-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON ROAD, NE",
"address_2": "OFFICE T5L38",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-778-4756"
}
],
"practiceLocations": [
{
"address_1": "2700 Old Rosebud Rd Ste 350",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405098630",
"country_code": "US",
"telephone_number": "502-352-2530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "LOGAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "55535",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "TP095",
"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 Jun 11, 2021; 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.