Lafayette Burks, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

50502 Issued in GA

Practice address

865 S 1St St
Jesup, GA 31545

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

Oct 5, 2006

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Your Family Hospice, LLC

  • Community Based Hospice Care Agency
  • Hinesville, GA
  • NPI 1093281131

  Contracted Managing Employee

  CMS ownership

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.

• Southland Optim Jenkins Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Millen, GA
  • NPI 1265826242
  Medicare reassignment NPD
• Wayne Emergency Group LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1982828943
  Medicare reassignment NPD
• Southland Optim Jenkins Emergency Medical Services, LLC

  dba DBA Southland Liberty Emergency Medical Services

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1477913580
  NPD
• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Georgia Department of Human Resources

  dba West Central Georgia Regional Hospital

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)
• Georgia Emergency Associates

  • Emergency Medicine Physician
  • Rincon, GA
  • NPI 1528098290
  NPD (past)
• Jesup Emergency Services, LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1699733832
  NPD (past)
• Your Family Hospice, LLC

  • Community Based Hospice Care Agency
  • Hinesville, GA
  • NPI 1093281131
  NPD (past)
• Hilton Head Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Hilton Head Island, SC
  • NPI 1326047176
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1952497760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532855",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532855",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "LAFAYETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "50502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00270549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "945875",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi J Brown
• Marlin Lavar Brown, ATC
• Melody Dempsey Brown, R.N.
• Tonga Brown
• Diane Bruce, OD
• Mark D Byron, MD
• Stacey N Cain
• Can DO Physical Therapy Inc
• Candide Physical Therapy, LLC
• Care Medical Center LLC (Absolute Precision Chiropractic)

• Emergency Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.