John Wesley Burnett Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21010 Issued in NC

Practice address

1040 Medical Park Ave
New Bern, NC 28562-5248

Phone

(252) 633-1678

Fax

(252) 633-1403

NPI assigned

May 26, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in NC

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, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Pollocksville, NC, CCN 347333
• Pruitthealth Home Health New Bern Home health agency, New Bern, NC, CCN 347026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jburnett27126@coastalcarolinahealthcenter.gardenplot.direct-ci.com

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.

• Coastal Carolina Health Care PA

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1750567970
  Medicare reassignment Care Compare group NPD
• Coastal Carolina Health Care PA

  • Family Medicine Physician
  • New Bern, NC
  • NPI 1366498297
  NPD
• Coastal Carolina Health Care PA

  • Family Medicine Physician
  • Morehead City, NC
  • NPI 1821959610
  NPD
• Coastal Carolina Health Care PA

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1780623207
  NPD (past)

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

• Pruitthealth Home Health, Inc.

  • Home Health Agency
  • New Bern, NC
  • NPI 1891197380
  Care Compare affiliation
• Tar Heel Health Care Services, LLC

  • Home Health Agency
  • Pollocksville, NC
  • NPI 1043243835
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1760438972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-633-1678",
            "fax_number": "252-633-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MEDICAL PARK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625248",
            "telephone_number": "252-633-1678",
            "fax_number": "252-633-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "21010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920111",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "20111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Burdulis
• Grace Burgin, PA-C
• Thomas Elma Burkart, M.D.
• Mary Kathleen Burke, D.C.
• Jalishia Burnett-McDonald
• Megan Terese Burnham, CNM
• James F Burns, MSW, LCSW
• Sara Burrington, NP
• Cynthia Lynch Burrows, R.PH
• Laquanet Burton

• Family Medicine Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.