Individual provider Active NPI

Dellinia Dione Burgess, FNP-BC

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1851826390
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218085 Issued in GA
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

Updated by the provider on Feb 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address dburgess108259@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170830003921 GA Practitioner - Nurse Practitioner 0244503928 Reassigns benefits to 4 organizations
I20251113002857 SC Practitioner - Nurse Practitioner 0244503928 Reassigns benefits to 1 organization

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
Om Healthcare LLCGroup PAC ID 3779004767, 4 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
19813SCMDAnesthesiology Physician
19813ASCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Om Healthcare LLC CurrentSince Mar 18, 2025 Accepting new patients
Cogent Healthcare of Georgia PC CurrentSince Jul 22, 2017 Accepting new patients
Evirtualcare, LLC CurrentSince Dec 1, 2020 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.