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BURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC
NPI 1194346734
Specialist in Richmond, VA

Active since May 06, 2020
7101 JAHNKE RD, RICHMOND, VA 23225(706) 863-9595(706) 447-7184 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2022, Oct 5, 2022, May 18, 2021 and 3 more (6 updates tracked since 2020).

About Burn And Reconstructive Centers Of Virginia, Pllc NPPES

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

BURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC (NPI 1194346734) is a healthcare organization registered as a specialist in Richmond, Virginia and active in the NPI registry since May 2020. The organization maintains 2 additional practice locations and lists Shawn Fagan, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1194346734
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBURN AND RECONSTRUCTIVE CENTERS OF VIRGINIA, PLLC
Location Address7101 JAHNKE RDRichmond, VA 23225-4017
Mailing AddressPo Box 3548Augusta, GA 30914-3548 · (706) 863-9595 · Fax (706) 447-7184
Phone(706) 863-9595
Fax(706) 447-7184
Organization SubpartNo
Authorized OfficialShawn FaganOwner/md · (706) 863-9595
Enumeration DateMay 6, 2020
Last NPPES UpdateOctober 11, 20226 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1194346734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7101 JAHNKE RD, Richmond, VA 23225
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Secondary Practice Locations 2

Location 13651 Wheeler RdAugusta, GA 30909-6521 · Phone (706) 863-9595 · Fax (706) 447-7184
Location 23675 J Dewey Gray Cir Ste 300Augusta, GA 30909-1868 · Phone (706) 863-9595 · Fax (706) 447-7184

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burn And Reconstructive Centers Of Virginia, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Burn And Reconstructive Centers Of Virginia, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Courtney Denton
Nurse Practitioner
NPI 1245985795
7101 JAHNKE RD
Richmond, VA 23225
(706) 863-9595
✔ PECOS✔ Accepts MedicareSame address
Mack Drake, DO
General Surgery
NPI 1114160629
7101 JAHNKE RD
Richmond, VA 23225
(706) 863-9595
✔ PECOS✔ Accepts MedicareSame address
Heather Hayden, FNP
Nurse Practitioner
NPI 1235507484
7101 JAHNKE RD
Richmond, VA 23225
(706) 863-9595
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Litt, DO
General Surgery
NPI 1649474685
7101 JAHNKE RD
Richmond, VA 23225
(706) 863-9595
✔ PECOS✔ Accepts MedicareSame address
Tayseer Chowdhry, M.D.
General Surgery
NPI 1750720660
3651 WHEELER RD
Augusta, GA 30909
(706) 863-9595
✔ PECOS✔ Accepts Medicare379 mi
Allan Macintyre, DO
General Surgery
NPI 1609854405
3901 W 15TH ST
Plano, TX 75075
(706) 863-9595
✔ PECOS✔ Accepts Medicare1,129 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Burn And Reconstructive Centers Of Virginia, PLLC's NPI number?

The NPI number for Burn And Reconstructive Centers Of Virginia, PLLC is 1194346734. It was assigned to this organization in the NPPES registry on May 6, 2020.

Where is Burn And Reconstructive Centers Of Virginia, PLLC located?

Burn And Reconstructive Centers Of Virginia, PLLC is located at 7101 Jahnke Rd, Richmond, VA 23225. The listed phone number is (706) 863-9595.

What is Burn And Reconstructive Centers Of Virginia, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Burn And Reconstructive Centers Of Virginia, PLLC enrolled in Medicare?

Yes. Burn And Reconstructive Centers Of Virginia, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burn And Reconstructive Centers Of Virginia, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Burn And Reconstructive Centers Of Virginia, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (4) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Burn And Reconstructive Centers Of Virginia, PLLC was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.