Active NPI
Kameko Edgecombe Burdine, CAA
- Anesthesiologist Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 10800
- Practice address
- 6300 Powers Ferry Rd Ste 600-236
Atlanta, GA 30339-2919 - Phone
- (305) 810-9880
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 10800 | GA | Primary |
| Anesthesiology Physician | 207L00000X | 530 | FL | |
| Anesthesiologist Assistant | 367H00000X | 530 | FL |
Addresses
Primary practice location
6300 Powers Ferry Rd Ste 600-236
Atlanta, GA 30339-2919
Mailing address
PO Box 945375
Atlanta, GA 30394-5375
Phone (516) 945-3000
Other practice location 1
5353 Reynolds St
Savannah, GA 31405
Phone (912) 819-6000
Other names 1
- Kameko Roshan Edgecombe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Poston Rd
Suite 105
Charleston, SC 29407-3466
101 E Wood St
Spartanburg, SC 29303-3040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530 | FL | MD | Anesthesiology Physician |
| 10800 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Georgia LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology Associates of Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Spartanburg Medical Center | Anesthesiology | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
1600 Medical Way
Snellville, GA 30078
Phone (770) 979-9903
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1124691159
-
- Anesthesiology Physician
- Spartanburg, SC
- NPI 1417771924
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1790336006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 945375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303945375",
"telephone_number": "516-945-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 POWERS FERRY RD STE 600-236",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392919",
"telephone_number": "305-810-9880"
}
],
"practiceLocations": [
{
"address_1": "5353 Reynolds St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "31405",
"country_code": "US",
"telephone_number": "912-819-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDINE",
"first_name": "KAMEKO",
"middle_name": "EDGECOMBE",
"name_prefix": "Ms.",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "10800",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "530",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "530",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMEKO",
"last_name": "EDGECOMBE",
"middle_name": "ROSHAN",
"credential": "CAA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.