Individual provider Active NPI

Lisa K. Burke, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1689762809
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39733 Issued in NC
Practice address
9550 Rocky River Rd Ste 150
Charlotte, NC 28215-9592
Phone
(704) 316-5281
Fax
(704) 316-5283
NPI assigned
Oct 11, 2006
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 035452 GA
Emergency Medicine Physician 207P00000X 39733 NC Primary

Addresses

Primary practice location

9550 Rocky River Rd Ste 150
Charlotte, NC 28215-9592

Mailing address

PO Box 60099
Charlotte, NC 28260-0099
Phone (704) 543-6636

Other practice location 1

7810 Providence Rd
Suite 102
Charlotte, NC 28226-2987
Phone (704) 543-6636

Other identifiers 3

IdentifierTypeStateIssuer
1689762809MedicaidNC
5910484MedicaidNC
NC2533MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lburke537948@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090126000211 NC Practitioner - Emergency Medicine 4880666973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

1302 Wesley Chapel Rd
Suite a
Indian Trail, NC 28079-5243
Phone (704) 635-6411

13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662

17078 Nat Bynum LN
Unit 3
Cornelius, NC 28031-0507
Phone (704) 324-3975

4815 Berewick Town Ctr Dr
Charlotte, NC 28278-6973
Phone (980) 337-4652

600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (366) 774-0040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035452GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Dec 23, 2018 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Mar 31, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Carolina Medicorp Enterprises, Inc Emergency Medicine CurrentSince Mar 31, 2018 Accepting new patients
Carolina Medicorp Enterprises, LLC Current Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Peachtree Emergency Associates Emergency Medicine Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Peachtree Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients

Locations

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

14330 Oakhill Park Ln
Ste 115
Huntersville, NC 28078
Phone (704) 316-1265

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: lburke537948@direct.novanthealth.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1689762809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60099",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600099",
            "telephone_number": "704-543-6636",
            "fax_number": "704-541-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 ROCKY RIVER RD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159592",
            "telephone_number": "704-316-5281",
            "fax_number": "704-316-5283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7810 Providence Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282262987",
            "country_code": "US",
            "telephone_number": "704-543-6636",
            "fax_number": "704-541-9476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LISA",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "035452",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "39733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689762809",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910484",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2533",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lburke537948@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "9550 Rocky River Rd Ste 150",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282159592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.