TRACY FOSSAS BURKE (NPI# 1063785962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063785962 |
| Entity Type | Individual |
| Full Name | TRACY FOSSAS BURKE |
| Practice Address |
5471 Chamblee Dunwoody Rd Dunwoody GA 30338-4114 |
| Practice Telephone | 7704810889 |
| Mailing Telephone | 7704810889 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006353 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360289 | Tracy Lynne Burke | Nurse Practitioner | 308 Brandon Town Center Mall, Brandon, FL 33511-4722 | 2019-11-12 |
| 1417019928 | Tracy Daniel Burke | Psychologist | 104 S Church St, West Chester, PA 19382-3202 | 2006-12-14 |
| 1902127251 | Tracy Burke | Psychologist | 3618 W Market St, Suite 14 South, Fairlawn, OH 44333-2425 | 2010-06-21 |
| 1881854560 | Tracy Burke | Dietitian, Registered | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2008-06-16 |
| Street Address |
5471 CHAMBLEE DUNWOODY RD |
| City | DUNWOODY |
| State | GA |
| Zip Code | 30338-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326006321 | James Kinahan | Internal Medicine | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2006-05-02 |
| 1811386022 | Dunwoody Personal Health Care PC | Internal Medicine | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2015-01-12 |
| 1679709539 | Etienne Jose Rodriguez | Family Medicine | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2009-06-05 |
| 1083869887 | Kristen Leigh Tinker | Physician Assistant | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2008-11-20 |
| 1457494502 | Dunwoody Village Clinic, PC | Internal Medicine | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338 | 2007-02-15 |
| 1649365297 | Jamie Christopher Morrison | Physician Assistant | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215261235 | David F. Siegel | Physician Assistant | 4351 Bishop Hollow Ct, Dunwoody, GA 30338-6106 | 2009-09-23 |
| 1912205253 | Virginia Hamel Joslin | Physician Assistant | 4500 N Shallowford Rd, Dunwoody, GA 30338-6476 | 2011-03-10 |
| 1083869887 | Kristen Leigh Tinker | Physician Assistant | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2008-11-20 |
| 1649365297 | Jamie Christopher Morrison | Physician Assistant | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.