Manley Francis Burton, M.D.
Individual provider Active NPI Adult Medicine Physician · Lawrenceville, GA
NPI 1992851604 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1992851604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 022983 (GA)
- Practice address
- 5 Hurricane Shoals Rd NE
Lawrenceville, GA 30046-4561 - Phone
- (678) 376-6555
- Fax
- (678) 376-6564
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022983 | GA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Family Medical | Current | Accepting new patients | |
| Edward Woodbine DDS PLLC | Past | Accepting new patients | |
| Alpha Medical Clinic | Past |
Accepting new patients | |
| Life Care Family Medicine,PSC | Past | Accepting new patients | |
| Mint Oral Surgery PLLC | Past |
Accepting new patients | |
| Acworth Pain Management Center Inc | Past | Accepting new patients | |
| BJC Medical Emergency Physicians, LLC | Past | Accepting new patients |
Locations
1960 Riverside Pkwy
Ste 106
Lawrenceville, GA 30043
Phone (678) 407-2222
Interoperability endpoints
- https://api.platform.athenahealth.com/14978/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 022983 | GA | Yes |
Addresses
Primary practice location
5 Hurricane Shoals Rd NE
Lawrenceville, GA 30046-4561
Mailing address
5 Hurricane Shoals Rd NE
Lawrenceville, GA 30046-4561
Phone (678) 376-6555
Other providers in Lawrenceville, GA
- Beverly E Burns
- Jessica Burrell
- Lophenia Fiona Burrell
- Matthew O Burrell
- Renita Burrows
- Penelope Marcia Burton
- Crystal Busbee
- Ryan Busch
- Dyneshiia Bush
- Lonika Bush
All providers in Lawrenceville, GA · Adult Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.