Active NPI
Elizabeth Burson
- Physician Assistant
- Newnan, GA
National Provider Identifier
1780467613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416 - Phone
- (770) 502-2112
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416
Mailing address
825 Highland LN NE Apt 1302
Atlanta, GA 30306-4339
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250227003077 | GA | Practitioner - Physician Assistant | 6507386919 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstreet of Georgia PC
Practice addresses (Care Compare)
1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121
1825 Hwy 34 E 1200
Newnan, GA 30265-6416
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
2976 Chapel Hill Rd
Douglasville, GA 30135-1733
Phone (678) 695-6960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12843 | GA | MD | Registered Respiratory Therapist |
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": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1780467613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 HIGHLAND LN NE APT 1302",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 HIGHWAY 34 E STE 1200",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302656416",
"telephone_number": "770-502-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSON",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.