JENNIFER ELDER BURGART MD NPI 1003010463

Family Medicine in Martin, TN

About JENNIFER BURGART

Jennifer Burgart is a provider in Martin, TN with more than 16 years of experience. The NPI number assigned to this provider is 1003010463. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago. Jennifer Burgart is registered with Medicare and accepts claims assignment.

NPI1003010463 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JENNIFER ELDER BURGART MD
Provider Location Address300 W PEACH ST MARTIN, TN 38237 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address965 RIDGE LAKE BLVD STE 103 MEMPHIS, TN 38120 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameEASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-29-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JENNIFER ELDER BURGART MD
300 W PEACH ST
MARTIN, TN
ZIP 38237
Phone: (731) 587-2525
Get Directions

Mailing Address

JENNIFER ELDER BURGART MD
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN
ZIP 38120
Phone:
Fax: (901) 227-8591

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.52437
License StateTN
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation

PECOS PAC ID6204928815
PECOS Enrollment IDI20150520000019
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
TENNOVA HEALTHCARE-VOLUNTEER MARTIN440061

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2180421OTHER (01)VA
PAROTHER (01)VA
1003010463MEDICAID (05)VA
PAROTHER (01)VA
07868OTHER (01)NC
10022001OTHER (01)VA
PAROTHER (01)VA
014126E30MEDICARE PIN (08)VA
-002 -003OTHER (01)VA
6039935OTHER (01)TN
PAROTHER (01)VA
5907686MEDICAID (05)NC
1003010463MEDICARE PIN (08)TN
P00646532MEDICARE PIN (08)VA
PAROTHER (01)VA
302884OTHER (01)VA
PAROTHER (01)VA
Q000626MEDICAID (05)TN
PAROTHER (01)VA
302882OTHER (01)VA
PAROTHER (01)VA

Map Location


JENNIFER ELDER BURGART MD address is 300 W PEACH ST MARTIN, TN 38237

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164501862SURGICAL ASSOCIATES OF MARTIN PC
Organization
Specialist300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1306826524 JAMI L MADDOX C.N.M.
Individual
Advanced Practice Midwife300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1396052932 REBECCA N JOHNSON CNMW
Individual
Advanced Practice Midwife300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1477533685 WILLIAM LLOYD DUNCAN M.D.
Individual
Specialist300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1609856822 ELIZABETH ROBERTS C.N.P.
Individual
Nurse Practitioner (Family)300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1710967492 LINDA A BARKER PA
Individual
Physician Assistant (Medical)300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1801193297 MELISSA MARIE REEVES APN
Individual
Nurse Practitioner (Family)300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525
1922088137 ELIZABETH DUNCAN BYARS M.D.
Individual
Obstetrics & Gynecology300 W PEACH ST
MARTIN, TN 38237
(731) 587-2525