John Michael Burk, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001571 Issued in GA

Practice address

16 Raven Wood Way
Pooler, GA 31322-4006

Phone

(770) 312-3828

NPI assigned

Sep 11, 2009

Sex

Male

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)

Not enrolled

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.

• Compassion Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Richmond Hill, GA
  • NPI 1063225936
  NPD Authorized official
• Optim Orthopedics Trauma, LLC

  • Orthopaedic Trauma Physician
  • Savannah, GA
  • NPI 1770318180
  NPD

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1801129598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RAVEN WOOD WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224006",
            "telephone_number": "770-312-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RAVEN WOOD WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224006",
            "telephone_number": "770-312-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Bryant
• Ellen Kathleen Budny, MT
• Building Blocks Family Counseling
• Allison Dinius Burch, OTR/L
• Vera N Burch
• Jessica Faye Burns
• Amy L Burris, LCSW
• Jermiesha Burton
• Zatascha Cymone Burton, LPC
• Mackenzie Butler, PTA

• Athletic Trainer in Pooler, GA
• Providers in Pooler, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.