Burkett Family Practice, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BURKETT FAMILY PRACTICE, LLC

Practice address

38 S Tallahassee St Ste B
Hazlehurst, GA 31539-6261

Phone

(912) 699-8800

Fax

(912) 699-8801

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Marie Burkett, FNP-CNPI 1043666860

Title

Family Nurse Practitioner

Phone

(912) 699-8800

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela M Burkett, FNP-C

  • Family Nurse Practitioner
  • Hazlehurst, GA
  • NPI 1043666860
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1669180741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S TALLAHASSEE ST STE B",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396261",
            "telephone_number": "912-699-8800",
            "fax_number": "912-699-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S TALLAHASSEE ST STE B",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396261",
            "telephone_number": "912-699-8800",
            "fax_number": "912-699-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKETT FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "912-699-8800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Burkettfamilypractice.com",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "38 S Tallahassee St Ste B",
            "city": "Hazlehurst",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315396261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Board of County Commissioners (Jeff Davis County EMS)
• Donna Lee Bowers, FNP-C
• Brian Bridges
• Taylor Marcus Bridges
• Loryn Michele Brown, PHARMD
• Angela M Burkett, FNP-C
• Jeffery Miles Butler, M.D.
• Rebecca Maghan Campbell
• Eric Wayne Carelock, FNP-C
• Jennifer Lynn Carelock, NP

• Primary Care Clinic/Center in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.