Individual provider Active NPI

Thomas Burns, PSYD, ABPP, CN

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1760431811
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
PSY002017 Issued in GA
Practice address
5461 Meridian Mark Rd Ste 180
Atlanta, GA 30342-3112
Phone
(404) 785-2849
Fax
(404) 785-2851
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X PSY002017 GA Primary

Addresses

Primary practice location

5461 Meridian Mark Rd Ste 180
Atlanta, GA 30342-3112

Mailing address

5461 Meridian Mark Rd Ste 180
Atlanta, GA 30342-3112
Phone (404) 785-2849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610001409 GA Order and Referring Only - Clinical Psychologist 6800186313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY002017GAMDNeurology Physician
002017GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scottish Rite Childrens Medical Ctr PastSince Jun 27, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tburns2608@choa.gadirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1760431811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARK RD STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423112",
            "telephone_number": "404-785-2849",
            "fax_number": "404-785-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARK RD STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423112",
            "telephone_number": "404-785-2849",
            "fax_number": "404-785-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "THOMAS",
        "credential": "PSYD, ABPP, CN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "PSY002017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "5461 Meridian Mark Rd Ste 180",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303423112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.