LAFAYETTE BURKS (NPI# 1952497760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952497760 |
| Entity Type | Individual |
| Full Name | LAFAYETTE BURKS |
| Credential | MD |
| Practice Address |
865 S 1st St Jesup GA 31545 |
| Mailing Address |
Po Box 532855 Atlanta GA 30353-2855 |
| Practice Telephone | 9048051300 |
| Practice Fax Number | 9048051302 |
| Mailing Telephone | 9048051300 |
| Mailing Fax Number | 9048051302 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 50502 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00270549 | 01 | |
| GA | BCBS | 945875 | 01 |
| Street Address |
865 S 1ST ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578999 | Hospital Authority of Wayne County, Georgia | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2005-09-14 |
| 1205457264 | Beth A Lewis | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2020-04-30 |
| 1295378313 | Antwan Lajunne Baker | Clinical Nurse Specialist | 865 S 1st St, Jesup, GA 31545-0210 | 2019-10-21 |
| 1285285452 | Shamrock Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1811548084 | Wayne County Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1104280668 | Krystal V Garcia | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2016-04-11 |
| 1649650656 | Wayne Memorial Hospital Pharmacy Retail | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2015-06-04 |
| 1396140497 | Advanced Medical Resources of Wayne County, LLC | Internal Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2014-10-31 |
| 1073864625 | Elisha Marchette Dansby | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-23 |
| 1912256892 | Shenique Anderson | Family Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104280668 | Krystal V Garcia | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2016-04-11 |
| 1851314975 | Jerry Mullis | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2006-07-26 |
| 1336130111 | Daniel Joseph Green | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
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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.