JANICE BURGIN (NPI# 1356664957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356664957 |
| Entity Type | Individual |
| Full Name | JANICE BURGIN |
| Credential | N.P. |
| Practice Address |
1458 Church St Ste B Decatur GA 30030-1672 |
| Practice Telephone | 4045016027 |
| Practice Fax Number | 4045085560 |
| Mailing Telephone | 4045085012 |
| Mailing Fax Number | 4045085560 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN108899 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1458 CHURCH ST STE B |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819689 | Kathleen S Johnson | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2005-08-30 |
| 1285283762 | Swiyyah Harrington | Advanced Practice Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2019-09-08 |
| 1619431897 | Antoinette Holmes | Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2019-01-22 |
| 1336699719 | Lori Powers | Advanced Practice Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2016-10-10 |
| 1104264183 | Jessica Je'nae Thomas | Nurse Practitioner | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2013-06-12 |
| 1477828622 | Diana Julia Calano | Advanced Practice Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2012-03-20 |
| 1437324597 | Trudy L Seivwright | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2008-04-29 |
| 1699961870 | Stacy Reynolds | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2007-09-20 |
| 1225085475 | Dekalb Women's Specialists | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2006-05-30 |
| 1306839808 | Albert Scott Jr. | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2005-08-30 |
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578937256 | Tiffany Muse | Nurse Practitioner | 2785 Lawrenceville Hwy, Decatur, GA 30033-2515 | 2015-11-18 |
| 1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
| 1255647962 | Kathy J Schafer | Nurse Practitioner | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2010-08-19 |
| 1932288792 | Lizette Simone Persky | Nurse Practitioner | 315 Winn Way, Decatur, GA 30030-2111 | 2006-11-03 |
| 1811076672 | Christian Leigh Marcum | Nurse Practitioner | 2801 N Decatur Rd, Suite 190, Decatur, GA 30033-5949 | 2006-11-03 |
| 1528142262 | Carolyn Gaines Hendricks | Nurse Practitioner | 3110 Clifton Springs Rd, Suite D, Decatur, GA 30034-4600 | 2006-10-25 |
| 1164505798 | Katherine Cantrell | Nurse Practitioner | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1992138788 | Lindley Ann Cone Kent | Nurse Practitioner | 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 | 2013-08-15 |
| 1881963122 | Heather Calhoun Quaile | Nurse Practitioner | 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 | 2011-12-15 |
| 1275812760 | Leah Galloway Pombo | Nurse Practitioner | 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 | 2011-08-15 |
| 1033315122 | Suni Hamm Carroll | Nurse Practitioner | 1105 N 5th Ave Ne, Rome, GA 30165-2603 | 2007-06-25 |
| 1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
| 1538201330 | Betty S Rhyne | Nurse Practitioner | 618 E Lamar St, Americus, GA 31709-3738 | 2007-02-12 |
| 1457389751 | Katina Catrice Hunter | Nurse Practitioner | 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 | 2006-06-28 |
| 1912945288 | Angela B Townsend | Nurse Practitioner | 11168 Columbia St, Blakely, GA 39823-3474 | 2006-06-02 |
| 1316900343 | Regina C Bogle | Nurse Practitioner | 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 | 2006-04-10 |
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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.