DR. STEPHEN MARCEL BURT (NPI# 1518062199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518062199 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MARCEL BURT |
| Credential | D.O. |
| Practice Address |
1111 Highway 441 North Pearson GA 31642 |
| Mailing Address |
P.o. Box 425 1111 Highway 441 North Pearson GA 31642 |
| Practice Telephone | 9124227073 |
| Practice Fax Number | 9124227019 |
| Mailing Telephone | 9124227073 |
| Mailing Fax Number | 9124227019 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 025727 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00272995E | 05 | |
| GA | RAILROAD MEDICARE | 010062912 | 01 |
| Street Address |
1111 HIGHWAY 441 NORTH |
| City | PEARSON |
| State | GA |
| Zip Code | 31642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528201936 | Asf Medical Center Inc | Emergency Medicine | 640 Main St North, Pearson, GA 31642 | 2009-04-15 |
| 1063657617 | Beverly Dianne Robertson | Registered Nurse | 636 A E. Austin Ave, Pearson, GA 31642 | 2008-12-11 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1750443263 | Atkinson County Board of Education | Registered Nurse | 98 East Roberts Ave., Pearson, GA 31642 | 2006-12-14 |
| 1578632931 | Boones Pharmacy, Inc. | Pharmacist | 37 Albany Ave E, Pearson, GA 31642 | 2006-11-07 |
| 1558445742 | South Central Primary Care Center, Inc. | Clinic/Center | 640 Main St N, Pearson, GA 31642 | 2006-10-24 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1962483867 | Ware Visiting Nurses Service, Inc | Home Health | 380 East Roberts St, Pearson, GA 31642 | 2005-11-08 |
| 1760862346 | Amanda Carver Merritt | Nurse Practitioner | 640 Main St N, Pearson, GA 31642 | 2015-06-09 |
| Find all providers in zip 31642 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 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.