Richard G Burris (NPI# 1487652228, PAC ID# 2961538798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487652228 |
| PAC ID by PECOS | 2961538798 |
| Professional Enrollment ID | I20100331000106 |
| Full Name | Richard G Burris |
| Address |
827 F E Sellers Hwy Monticello MS 39654-9378 |
| Phone Number | 6015874648 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251305 | LAWRENCE COUNTY HOSPITAL CAH |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 827 F E Sellers Hwy, Monticello, MS 39654-9378 | 6015874648 |
| Street Address |
827 F E SELLERS HWY |
| City | MONTICELLO |
| State | MS |
| Zip | 39654-9378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Hussey Burris | Nurse Practitioner | 827 F E Sellers Hwy, Burris Medical Clinic, Monticello, MS 39654-9378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry K Cruel | Podiatry | River Health Care LLC | 157 F E Sellers Hwy, Monticello, MS 39654 |
| Brantley Bernard Pace | General Practice | 713 Watts St, Monticello, MS 39654-0518 | |
| Deontranese T Taylor | Nurse Practitioner | 314 Main St, Suite D, Monticello, MS 39654-3702 | |
| Greta L Keys | Nurse Practitioner | 1132 E Broad St, Monticello, MS 39654-7681 | |
| Patrick B Wood | Family Medicine | Southwest Mississippi Regional Medical Center | 1167 E Broad St, Monticello, MS 39654-7682 |
| Caron C Henderson | Nurse Practitioner | Wcs Professional Services of Mississippi, LLC | 1065 E Broad St, Lawrence Cnty Hosp, Monticello, MS 39654-7703 |
| Teresa Q Conerly | Nurse Practitioner | Family Health Care Clinic Inc | 430 W Broad St, Monticello, MS 39654-7723 |
| City | MONTICELLO |
| Zip Code | 39654 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTICELLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard G Burris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.