Individual provider Active NPI

Robert Alexander Burns, MD

  • Surgery Physician
  • Dalton, GA
National Provider Identifier
1891776381
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
024400 Issued in GA
Practice address
1109 Burleyson Dr
Suite 102
Dalton, GA 30720-2510
Phone
(706) 272-6596
Fax
(706) 272-6270
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 024400 GA Primary

Addresses

Primary practice location

1109 Burleyson Dr
Suite 102
Dalton, GA 30720-2510

Mailing address

1109 Burleyson Dr
Suite 102
Dalton, GA 30720-2510
Phone (706) 272-6596

Other identifiers 2

IdentifierTypeStateIssuer
024400OtherGASTATE MED LIC
000263161DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000458 GA Practitioner - General Surgery 3274619887 Practice locations: Dalton, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024400GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Surgical Associates Surgery Past Accepting new patients

Organizations & group practices 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1891776381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BURLEYSON DR",
            "address_2": "SUITE 102",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202510",
            "telephone_number": "706-272-6596",
            "fax_number": "706-272-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BURLEYSON DR",
            "address_2": "SUITE 102",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202510",
            "telephone_number": "706-272-6596",
            "fax_number": "706-272-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ROBERT",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "024400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC",
            "identifier": "024400",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000263161D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.