Individual provider Active NPI

Ingrid Renee Burton, M.D.

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1679605158
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
050694 Issued in GA
Practice address
4355 Cobb Pkwy SE
Suite J 260
Atlanta, GA 30339-4657
Phone
(404) 808-7574
NPI assigned
Mar 11, 2007
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 050694 GA Primary

Addresses

Primary practice location

4355 Cobb Pkwy SE
Suite J 260
Atlanta, GA 30339-4657

Mailing address

4355 Cobb Pkwy SE
Suite J 260
Atlanta, GA 30339-4657
Phone (404) 808-7574

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000665 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032365044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Morehouse School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

688 Spring St NW
Atlanta, GA 30308-1934
Phone (404) 881-1155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Aug 28, 2012 Accepting new patients
American Current Care PA CurrentSince Aug 28, 2012 Accepting new patients
Del Mazo Medical Services PastSince Aug 27, 2012 Accepting new patients
Brook Cardiothoracic Surgery LLC Past Accepting new patients
Gwinnett Clinic LTD Past Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

Organizations & group practices 5

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1679605158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 COBB PKWY SE",
            "address_2": "SUITE J 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394657",
            "telephone_number": "404-808-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 COBB PKWY SE",
            "address_2": "SUITE J 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394657",
            "telephone_number": "404-808-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "INGRID",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "050694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.