JUSTIN PRICE BURGETT (NPI# 1801061452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801061452 |
| Entity Type | Individual |
| Full Name | JUSTIN PRICE BURGETT |
| Credential | FNP-BC, RN |
| Practice Address |
1114 Professional Blvd Dalton GA 30720-2597 |
| Practice Telephone | 7062780138 |
| Mailing Telephone | 7062780138 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN233030 | GA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 163538 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN233030 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1114 PROFESSIONAL BLVD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117609 | Douglas Bradley Delay | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1669087615 | Taylor Nicole Efaw | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2020-09-15 |
| 1912266230 | Jennifer Nicole Duckett | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2012-05-07 |
| 1659506277 | Seth T Wagner | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720 | 2009-05-27 |
| 1497998223 | Brandon Alan Smith | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2009-04-09 |
| 1649338849 | Brandy Michelle Scott | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2006-12-04 |
| 1639167026 | Dalton Family Practice, P.C. | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1851389340 | Stanley L Hoy | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1285622746 | Karah Freeman Smith | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1265420731 | John S Antalis | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847367 | Marlin Calvin Allen | Nurse Practitioner | 1209 W Walnut Ave Ste 1, Dalton, GA 30720-3961 | 2020-09-24 |
| 1215559364 | Kelcey Akridge Bennett | Nurse Practitioner | 1233 Covie Dr, Dalton, GA 30720-2524 | 2020-05-12 |
| 1699318303 | Gregory Allen Green | Nurse Practitioner | 2246 Rocky Face Cir, Dalton, GA 30720-2946 | 2019-10-25 |
| 1952885634 | Ashley Kaye Lumpkin | Nurse Practitioner | 2709 Airport Rd Ste 101, Dalton, GA 30721-0252 | 2018-09-19 |
| 1154823086 | Jamie Lynn Haswell | Nurse Practitioner | 304 Brickyard Rd, Dalton, GA 30721-4815 | 2018-03-07 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1750793410 | Natalie Renee Ali | Nurse Practitioner | 1012 Burleysron Rd, Dalton, GA 30720-8340 | 2014-05-28 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1598958498 | Bradley Robert Mills | Nurse Practitioner | 1107 Memorial Dr Ste 200, Dalton, GA 30720-8662 | 2007-08-23 |
| 1306064308 | Carmen Plott | Nurse Practitioner | 1504 N. Thorton Ave, Suite 102, Dalton, GA 30722 | 2007-04-23 |
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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.