Bonnie A Burnette-Vick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30577 Issued in TN

Practice address

420 W Morris Blvd
Ste. 400B
Morristown, TN 37813-2283

Phone

(423) 586-2410

Fax

(423) 581-9692

NPI assigned

May 4, 2006

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
• University of TN Medical Center Home Health Serv Home health agency, Morristown, TN, CCN 447500
• Smoky Mountain Home Health and Hospice, Inc Home health agency, Newport, TN, CCN 447195
• Gentiva Hospice, Nashville, TN, CCN 441545
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healthstar Physicians, P.C.

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1184610248
  Medicare reassignment Care Compare group NPD
• Healthstar Physicians PC

  • Pain Medicine (Anesthesiology) Physician
  • Morristown, TN
  • NPI 1841187648
  NPD
• East Tennessee Primary Care Associates

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1134271745
  NPD (past)
• Anesthesia Services Associates, PLLC

  dba Comprehensive Pain Specialists

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
  • NPI 1376054213
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Morristown, TN
  • NPI 1639127319
  Care Compare affiliation
• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation
• Morristown-Hamblen Homecare and Hospice, LLC

  dba University of TN Medical Center Home Health Services

  • Home Health Agency
  • Morristown, TN
  • NPI 1174783112
  Care Compare affiliation
• Smoky Mountain Home Health & Hospice, Inc

  • Home Health Agency
  • Newport, TN
  • NPI 1972583235
  Care Compare affiliation
• Tnmo Healthcare, LLC

  dba Avalon Hospice

  • Community Based Hospice Care Agency
  • Nashville, TN
  • NPI 1407807688
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1730137423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE. 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE. 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE-VICK",
        "first_name": "BONNIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3840100",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonnie.vick.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "420 W Morris Blvd",
            "address_2": "Ste. 400B",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bunch Medical LLC (M.D. Pharmacy)
• Bunch Medical LLC (M.D. Pharmacy Store 2)
• Jana Gordon Bunsic, DO
• Brandie Burchfield, B.S.
• Lynda Burke, MASTERS CLINICIAN
• Christopher D. Burns, MS
• Butler Community Health
• Heather R Butler, LMSW
• Nikomii Butler, BS
• William Butler Sr.

• Family Medicine Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.