Active NPI
Paula A Burgess, M.D.
- Emergency Medicine Physician
- Decatur, GA
National Provider Identifier
1861746752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24211
- Practice address
- 201 W Ponce de Leon Ave
#32
Decatur, GA 30030-3217 - Phone
- (404) 502-8900
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24211 | GA | Primary |
Addresses
Primary practice location
201 W Ponce de Leon Ave
#32
Decatur, GA 30030-3217
Mailing address
201 W Ponce de Leon Ave
#32
Decatur, GA 30030-3217
Phone (404) 502-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24211 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Em-I Medical Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Smyrna Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
Emergency Medicine
-
- Emergency Medicine Physician
- Smyrna, GA
- NPI 1700834025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1861746752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W PONCE DE LEON AVE",
"address_2": "#32",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303217",
"telephone_number": "404-502-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W PONCE DE LEON AVE",
"address_2": "#32",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303217",
"telephone_number": "404-502-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "PAULA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "24211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.