Individual provider Active NPI

Augusta Embry Burrus, MCD CCC SLP

  • Speech-Language Pathologist
  • Auburn University, AL
National Provider Identifier
1881880227
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2045 Issued in AL
Practice address
1199 Haley Center
Auburn University, AL 36849-5232
Phone
(334) 844-9600
Fax
(334) 844-4585
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2045 AL Primary

Addresses

Primary practice location

1199 Haley Center
Auburn University, AL 36849-5232

Mailing address

1199 Haley Center
Auburn University, AL 36849-5232
Phone (334) 844-9600

Other identifiers 1

IdentifierTypeStateIssuer
890008710MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001239 AL Practitioner - Qualified Speech Language Pathologist 2365782125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn UniversityGroup PAC ID 2365735750, 9 clinicians

Practice addresses (Care Compare)

1199 Haley Ctr
Auburn University, AL 36849-0001
Phone (334) 844-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn University Speech-Language Pathologist CurrentSince Jun 10, 2023 Accepting new patients
Auburn University CurrentSince Jun 10, 2023 Accepting new patients
Auburn University Past Accepting new patients

Locations

351 W Thach Ave
Auburn, AL 36849

1199 Duncan Hall
Auburn University, AL 36849

1199 Haley Ctr
Auburn University, AL 36849
Phone (334) 844-9600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1881880227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 HALEY CENTER",
            "city": "AUBURN UNIVERSITY",
            "state": "AL",
            "postal_code": "368495232",
            "telephone_number": "334-844-9600",
            "fax_number": "334-844-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HALEY CENTER",
            "city": "AUBURN UNIVERSITY",
            "state": "AL",
            "postal_code": "368495232",
            "telephone_number": "334-844-9600",
            "fax_number": "334-844-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUS",
        "first_name": "AUGUSTA",
        "middle_name": "EMBRY",
        "name_prefix": "Ms.",
        "credential": "MCD CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890008710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn University, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.