Active NPI
Justin Price Burgett, FNP-BC, RN
- Family Nurse Practitioner
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN233030
- Practice address
- 1114 Professional Blvd
Dalton, GA 30720-2597 - Phone
- (706) 278-0138
- NPI assigned
- Apr 24, 2008
- Last updated
- Sep 3, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN233030 | GA | Primary |
| Registered Nurse | 163W00000X | 163538 | TN | |
| Registered Nurse | 163W00000X | RN233030 | GA |
Addresses
Primary practice location
1114 Professional Blvd
Dalton, GA 30720-2597
Mailing address
1114 Professional Blvd
Dalton, GA 30720-2597
Phone (706) 278-0138
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1114 Professional Blvd
Dalton, GA 30720-2588
Phone (706) 278-0138
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN233030 | GA | MD | Registered Nurse |
| 163538 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalton Family Practice, P.C. | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Past | Accepting new patients |
Locations
1114 Professional Blvd
Dalton, GA 30720
Phone (706) 278-0138
Interoperability endpoints
- jburgett31933@hhcs.direct-ci.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dalton, GA
- NPI 1639167026
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1801061452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 PROFESSIONAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202597",
"telephone_number": "706-278-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 PROFESSIONAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202597",
"telephone_number": "706-278-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGETT",
"first_name": "JUSTIN",
"middle_name": "PRICE",
"credential": "FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN233030",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "163538",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN233030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.