Individual provider Active NPI

Katelyn Burch, CPNP

  • Pediatric Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1780013805
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN223487 Issued in GA
Practice address
4 E Jackson Blvd
Savannah, GA 31405-5895
Phone
(912) 355-1010
Fax
(912) 351-0589
NPI assigned
Nov 8, 2013
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN223487 GA Primary

Addresses

Primary practice location

4 E Jackson Blvd
Savannah, GA 31405-5895

Mailing address

4 E Jackson Blvd
Savannah, GA 31405-5895
Phone (912) 355-1010

Other practice location 1

5461 Meridian Mark Rd Ste 520
Atlanta, GA 30342-3283
Phone (404) 785-2900

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216004692 GA Practitioner - Nurse Practitioner 0244529212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 E Jackson Blvd
Savannah, GA 31405-5810
Phone (912) 355-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN223487GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurological Institute of Savannah & Center for Spine P C CurrentSince Dec 1, 2025 Accepting new patients
The Neurological Institute of Savannah & Center for Spine, PC CurrentSince Dec 1, 2025 Accepting new patients
Scottish Rite Children's Medical Center Pediatrics Past Accepting new patients
Choa Multispecialty, LLC Pediatrics PastSince Jun 27, 2021 Accepting new patients

Locations

4 E Jackson Blvd
Savannah, GA 31405

Interoperability endpoints

  • Direct secure messaging: kburch43997@choa.gadirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1780013805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JACKSON BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055895",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JACKSON BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055895",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5461 Meridian Mark Rd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303423283",
            "country_code": "US",
            "telephone_number": "404-785-2900",
            "fax_number": "404-785-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "KATELYN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN223487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.