Active NPI
Dellinia Dione Burgess, FNP-BC
- Family Nurse Practitioner
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN218085
- Practice address
- 4445 S Lee St Ste 100
Buford, GA 30518-8806 - Phone
- (770) 848-5200
- NPI assigned
- Apr 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN218085 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 19813A | SC |
Addresses
Primary practice location
4445 S Lee St Ste 100
Buford, GA 30518-8806
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dburgess108259@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1083 Pkwy Blvd
Athens, GA 30606-6171
Phone (347) 458-7445
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19813 | SC | MD | Anesthesiology Physician |
| 19813A | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Om Healthcare LLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Current | Accepting new patients | |
| Evirtualcare, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Connecticut - TCS | Past | Accepting new patients | |
| Ank Healthcare, LLC | Past | Accepting new patients |
Locations
1083 Parkway Blvd
Athens, GA 30606
Phone (347) 458-7445
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Athens, GA
- NPI 1902622137
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Internal Medicine Physician
- Athens, GA
- NPI 1073050647
-
- Internal Medicine Physician
- Johns Creek, GA
- NPI 1750068565
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1831712256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1851826390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S LEE ST STE 100",
"city": "BUFORD",
"state": "GA",
"postal_code": "305188806",
"telephone_number": "770-848-5200"
}
],
"practiceLocations": [
{
"address_1": "367 Clear Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Lavonia",
"state": "GA",
"postal_code": "305534173",
"country_code": "US",
"telephone_number": "706-356-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "DELLINIA",
"middle_name": "DIONE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN218085",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19813A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dburgess108259@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4445 S Lee St Ste 100",
"city": "Buford",
"state": "GA",
"country_code": "US",
"postal_code": "305188806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.