Active NPI
Stephanie T McBurrough, FNP-C
- Family Medicine Physician
- Tennille, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN228198
- Practice address
- 116 Smith St
Tennille, GA 31089-1465 - Phone
- (478) 552-7384
- Fax
- (478) 864-1288
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN228198 | GA | Primary |
Addresses
Primary practice location
116 Smith St
Tennille, GA 31089-1465
Mailing address
PO Box 371
Wrightsville, GA 31096-0371
Phone (478) 864-3448
Other practice location 1
4292 Gray Hwy
Gray, GA 31032-5900
Phone (478) 986-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN228198 | Other | GA | GEORGIA LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Medical College of Georgia School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Systems, Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Community Health Care Systems, Inc. | Current | Accepting new patients |
Locations
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
4292 Gray Hwy
Gray, GA 31032
Phone (478) 986-2500
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
116 Smith St
Tennille, GA 31089
Phone (478) 552-1620
2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600
Interoperability endpoints
- smcburrough2895317@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
dba Johnson County Center for Community Health
- Federally Qualified Health Center (FQHC)
- Wrightsville, GA
- NPI 1932150422
-
dba Community Health Care Systems Administration & Specialty Services
- Federally Qualified Health Center (FQHC)
- Sandersville, GA
- NPI 1184515694
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Elberton, GA
- NPI 1669488250
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1699403758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "WRIGHTSVILLE",
"state": "GA",
"postal_code": "310960371",
"telephone_number": "478-864-3448",
"fax_number": "478-864-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SMITH ST",
"city": "TENNILLE",
"state": "GA",
"postal_code": "310891465",
"telephone_number": "478-552-7384",
"fax_number": "478-864-1288"
}
],
"practiceLocations": [
{
"address_1": "4292 Gray Hwy",
"address_purpose": "LOCATION",
"city": "Gray",
"state": "GA",
"postal_code": "310325900",
"country_code": "US",
"telephone_number": "478-986-2500",
"fax_number": "478-864-1288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCBURROUGH",
"first_name": "STEPHANIE",
"middle_name": "T",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN228198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE",
"identifier": "RN228198",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tennille, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Order and Referring.
- 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.