Dana B Bass Burch, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1843 Issued in GA

Practice address

794 McDonough Rd
Suite 111
Jackson, GA 30233-1572

Phone

(470) 251-5300

Fax

(470) 251-5301

NPI assigned

Jan 26, 2009

Last updated

Dec 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dana B Burch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dana.burch.1@14337.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14337/brand/1/csg/1/fhir/r4

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.

• Select Interventional Pain, PC

  • Interventional Pain Medicine Physician
  • Jackson, GA
  • NPI 1750789947
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1992943195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 MCDONOUGH RD",
            "address_2": "SUITE 111",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331572",
            "telephone_number": "470-251-5300",
            "fax_number": "470-251-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 MCDONOUGH RD",
            "address_2": "SUITE 111",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331572",
            "telephone_number": "470-251-5300",
            "fax_number": "470-251-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS BURCH",
        "first_name": "DANA",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "BURCH",
            "middle_name": "B",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anointed Hands Home Care Agency ,Inc.
• Tiffany Ann Austin, LCSW
• Aylo Health, LLC
• Laura Barber, AGNP
• James Edward Barron, D.M.D.
• John Stephen Bender, DDS
• Bennie R White Jr MD Inc
• Whitney L Berry, CSFA
• BHG Lii, LLC (BHG Jackson Treatment Center)
• BHG Lxvi, LLC (BHG Medical Services - Georgia)

• Medical Physician Assistant in Jackson, GA
• Providers in Jackson, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.