Individual provider Active NPI

Yotta Lasheka Burton

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1992292874
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203873 Issued in GA
Practice address
1100 Atlantic Ave
Waycross, GA 31501-3255
Phone
(912) 816-6069
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203873 GA Primary

Addresses

Primary practice location

1100 Atlantic Ave
Waycross, GA 31501-3255

Mailing address

1100 Atlantic Ave
Waycross, GA 31501-3255
Phone (912) 816-6069

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
I20190103003156 GA Practitioner - Nurse Practitioner 0840536363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unison Behavioral HealthGroup PAC ID 7517852247, 19 clinicians

Practice addresses (Care Compare)

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 285-6142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unison Behavioral Health Current Accepting new patients
Unison Behavioral Health CurrentSince Dec 1, 2018 Accepting new patients

Locations

1007 Mary St
Waycross, GA 31503
Phone (912) 284-2547

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1992292874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ATLANTIC AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013255",
            "telephone_number": "912-816-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ATLANTIC AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013255",
            "telephone_number": "912-816-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "YOTTA",
        "middle_name": "LASHEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.