Individual provider Active NPI

Caroline M Burton, M.D.

  • Pediatrics Physician
  • Sevierville, TN
National Provider Identifier
1710129895
Registry record updated May 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
50797 Issued in TN
Practice address
744 Middle Creek Rd
Suite 108
Sevierville, TN 37862-5015
Phone
(865) 446-9500
Fax
(865) 446-9501
NPI assigned
Apr 3, 2009
Last updated
May 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 206132 LA
Internal Medicine Physician 207R00000X 50797 TN
Pediatrics Physician 208000000X 206132 LA
Pediatrics Physician 208000000X 50797 TN Primary

Addresses

Primary practice location

744 Middle Creek Rd
Suite 108
Sevierville, TN 37862-5015

Mailing address

744 Middle Creek Rd
Suite 108
Sevierville, TN 37862-5015
Phone (865) 446-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140415001521 TN Practitioner - Family Practice 5799917241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206132LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Internal Medicine CurrentSince Feb 10, 2014 Accepting new patients
Covenant Medical Group, Inc CurrentSince Feb 10, 2014 Accepting new patients
Children's International L.L.C. Pediatrics Past Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

744 Middle Creek Rd
Ste 108
Sevierville, TN 37862
Phone (865) 446-9500

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.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400284800000",
    "number": "1710129895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD",
            "address_2": "SUITE 108",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625015",
            "telephone_number": "865-446-9500",
            "fax_number": "865-446-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD",
            "address_2": "SUITE 108",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625015",
            "telephone_number": "865-446-9500",
            "fax_number": "865-446-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "CAROLINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2014-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "206132",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "50797",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "206132",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "50797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.