Jessica Lynn Burrows, PA
Individual provider Active NPI Medical Physician Assistant · Dothan, AL
NPI 1710246731 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1710246731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA.1506 (AL)
- Practice address
- 1500 Ross Clark Cir
Dothan, AL 36301-4754 - Phone
- (334) 793-2663
- Fax
- (334) 836-2248
- NPI assigned
- May 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- S.B.J.S. PC
Practice addresses (Care Compare)
1500 Ross Clark Cir
Dothan, AL 36301-4754
Phone (334) 793-2663
2126 W Roy Parker Rd
Suite 201
Ozark, AL 36360-8566
Phone (334) 445-2663
345 Healthwest Dr
Dothan, AL 36303-2053
Phone (334) 793-2663
Hospital & facility affiliations
- Flowers Hospital
- Southeast Health Medical Center
- Dale Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120517000201 | FL | Practitioner - Physician Assistant | 5496918153 | Reassigns benefits to 1 organization |
| I20190729003081 | AL | Practitioner - Physician Assistant | 5496918153 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.1506 | AL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.B.J.S. PC | Current |
Accepting new patients | |
| S.B.J.S. PC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663
345 Healthwest Dr
Dothan, AL 36303
Phone (334) 793-2663
2126 W Roy Parker Rd
Ste 201
Ozark, AL 36360
Phone (334) 445-2663
Interoperability endpoints
- jessica.burrows.1@15455.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.1506 | AL | Yes |
| Medical Physician Assistant | 363AM0700X | PA9106559 | FL |
Addresses
Primary practice location
1500 Ross Clark Cir
Dothan, AL 36301-4754
Mailing address
PO Box 17308
Clearwater, FL 33762-0308
Phone (904) 482-1070
Other practice location 1
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 298-6612
Other providers in Dothan, AL
- Sharon J Burch
- Stevi Morgan Burger
- John H Burgess
- Chelesia Burkes-Brown
- Judith Lea Burnett-Haisten
- Vera Marcella Franziska Burton
- Hannah Lee Bush
- Business Media Group LLC
- James S Butler
- Teleetha Butler
All providers in Dothan, AL · Medical Physician Assistant in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.