Individual provider Active NPI

Stephanie Burris, NP-C

  • Family Nurse Practitioner
  • Oglethorpe, GA
National Provider Identifier
1659749992
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN199381 Issued in GA
Practice address
300 Medical Court
Oglethorpe, GA 31068
Phone
(478) 458-9942
Fax
(478) 458-9969
NPI assigned
Sep 3, 2015
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN199381 GA Primary

Addresses

Primary practice location

300 Medical Court
Oglethorpe, GA 31068

Mailing address

300 Medical Court
Oglethorpe, GA 31068
Phone (478) 458-9942

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009001442 GA Practitioner - Nurse Practitioner 7618285784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Georgia Rheumatology LLCGroup PAC ID 7113246760, 4 clinicians

Practice addresses (Care Compare)

1508 A Hardeman Ave
Macon, GA 31201-1471
Phone 4787423704200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN199381GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Associates, LLC Current Accepting new patients
Heart of Georgia Rheumatology LLC CurrentSince Mar 1, 2023 Accepting new patients
Medical Group of Central Georgia, LLC CurrentSince May 25, 2021 Accepting new patients
Nannette R Crowley MD LLC Past Accepting new patients

Locations

1508 Hardeman Ave
Ste A
Macon, GA 31201
Phone (478) 742-3704

1508B Hardeman Ave
Macon, GA 31201
Phone (478) 742-3704

2054 Watson Blvd
Warner Robins, GA 31093
Phone (478) 918-0770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICBAA

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.

Hospital & facility affiliations 5

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1659749992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL COURT",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "31068",
            "telephone_number": "478-458-9942",
            "fax_number": "478-458-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL COURT",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "31068",
            "telephone_number": "478-458-9942",
            "fax_number": "478-458-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "STEPHANIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.