Individual provider Active NPI

Jennifer L Burdette, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1669530879
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23741 Issued in AL
Practice address
7700 Highway 69 S
Suite C
Tuscaloosa, AL 35405-8783
Phone
(205) 349-1040
Fax
(205) 349-4010
NPI assigned
Dec 4, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23741 AL Primary

Addresses

Primary practice location

7700 Highway 69 S
Suite C
Tuscaloosa, AL 35405-8783

Mailing address

7700 Highway 69 S Ste C
Tuscaloosa, AL 35405-8784
Phone (205) 349-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001623 AL Practitioner - Family Practice 7810967874 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians
Tfmedical LLCGroup PAC ID 2264776509, 4 clinicians

Practice addresses (Care Compare)

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

7700 Hwy 69 S
Suite C
Tuscaloosa, AL 35405-8784
Phone (205) 349-1040

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23741ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Oct 10, 2017 Accepting new patients
Summit Physician Group LLP Family Medicine CurrentSince Sep 22, 2018 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jan 1, 2022 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince May 5, 2021 Accepting new patients
Whatley Health Services, Inc. CurrentSince Oct 10, 2017 Accepting new patients
Pinnacle Physician Group, LLP CurrentSince Jan 3, 2014 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince May 5, 2021 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Tfmedical LLC Family Medicine CurrentSince Oct 13, 2018 Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

315 Main Ave
Northport, AL 35476
Phone (205) 344-9019

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

700 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 348-7131

7700 Highway 69 S
Ste B
Tuscaloosa, AL 35405
Phone (205) 523-7002

7700 Highway 69 S
Ste C
Tuscaloosa, AL 35405
Phone (205) 349-1040

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBIDD
  • Direct secure messaging: jennifer.burdette.p1@direct.umc.nextgenshare.com

Organizations & group practices 10

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 4

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1669530879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 69 S STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058784",
            "telephone_number": "205-349-1040",
            "fax_number": "205-349-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 69 S",
            "address_2": "SUITE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058783",
            "telephone_number": "205-349-1040",
            "fax_number": "205-349-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.