TRACY FOSSAS BURKE
NPI 1063785962
Physician Assistant - Medical in Dunwoody, GA

Active since February 23, 2012PECOS Enrolled
5471 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338(770) 481-0889 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Fossas Burke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY FOSSAS BURKE (NPI 1063785962) is an individual medical provider in Dunwoody, Georgia, licensed in Georgia (006353) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063785962
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTRACY FOSSAS BURKE
Location Address5471 CHAMBLEE DUNWOODY RDDunwoody, GA 30338-4114
Mailing Address5471 Chamblee Dunwoody RdDunwoody, GA 30338-4114 · (770) 481-0889
Sole ProprietorNo
Enumeration DateFebruary 23, 2012
NPI 1063785962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 006353
5471 CHAMBLEE DUNWOODY RD, Dunwoody, GA 30338

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tracy Fossas Burke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338
Internal Medicine
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338
Internal Medicine
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338
Physician Assistant (Medical)
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338
Internal Medicine
5471 CHAMBLEE DUNWOODY RD
DUNWOODY, GA 30338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Burke's NPI number?

The NPI number for Tracy Burke is 1063785962. It was assigned to this individual provider in the NPPES registry on February 23, 2012.

Where is Tracy Burke located?

Tracy Burke practices at 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338. The listed phone number is (770) 481-0889.

What is Tracy Burke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tracy Burke enrolled in Medicare?

Yes. Tracy Burke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Burke was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.