Joan Burks, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4106 Issued in GA

Practice address

1100 Johnson Ferry Rd NE Ste 425
Center Pointe I
Atlanta, GA 30342-1745

Phone

(404) 252-2666

Fax

(404) 252-0890

NPI assigned

Jun 14, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dr Michael Lacey MD P.C

  • Neurology Physician
  • Sandy Springs, GA
  • NPI 1083650980
  NPD (past)
• Mayville Neurology

  • Specialist
  • Atlanta, GA
  • NPI 1699063651
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1770526170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 COBURN CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383035",
            "telephone_number": "404-597-7359",
            "fax_number": "770-394-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE STE 425",
            "address_2": "CENTER POINTE I",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421745",
            "telephone_number": "404-252-2666",
            "fax_number": "404-252-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "JOAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Burkhardt, SLP
• Emily Burkhart, PA-C
• Yelena Yuryevna Burklin, M.D.
• Ciara Rache' Burks
• Gabriel Winthrop Burks
• Paula Marie Burks, P.T.
• Teanna Lilleah Burks
• Valencia Faye Burks
• Chelsey Burl, RN
• Monica Burleson, OTR/ L

• Medical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.