Individual provider Active NPI

Olivia Paige Burchett, PA-C

  • Physician Assistant
  • Roswell, GA
National Provider Identifier
1912710583
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12962 Issued in GA
Practice address
1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258
Phone
(770) 393-9000
NPI assigned
Jan 28, 2025
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12962 GA Primary

Addresses

Primary practice location

1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258

Mailing address

PO Box 801
Paintsville, KY 41240-0801
Phone (859) 629-9788

Other practice location 1

2200 Medical Center Blvd Ste 350
Lawrenceville, GA 30046-7768
Phone (678) 312-2700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250427000054 GA Practitioner - Physician Assistant 8426574088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Neurosurgery Associates LLCGroup PAC ID 7012328263, 14 clinicians

Practice addresses (Care Compare)

631 Professional Dr
Suite 360
Lawrenceville, GA 30046-3370
Phone (404) 851-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12962GAMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1912710583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412400801",
            "telephone_number": "859-629-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 OLD ALABAMA RD STE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762258",
            "telephone_number": "770-393-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Medical Center Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467768",
            "country_code": "US",
            "telephone_number": "678-312-2700",
            "fax_number": "678-312-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "OLIVIA",
        "middle_name": "PAIGE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.