TONYA ASHLEY BURTON NP
NPI 1588158455
Nurse Practitioner - Family in Jackson, TN

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
95.73/100
CMS Quality Rating
27A MEDICAL CENTER DR, JACKSON, TN 38301(731) 280-0157(731) 424-0774 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 3, 2025, Oct 10, 2024, Jan 4, 2023 and 1 more (4 updates tracked since 2018).

About Tonya Ashley Burton Np NPPES

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

TONYA ASHLEY BURTON NP (NPI 1588158455) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (24105) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588158455
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA ASHLEY BURTONCredential: NP
Location Address27A MEDICAL CENTER DRJackson, TN 38301-3949
Mailing AddressPo Box 381468Germantown, TN 38183-1468
Fax(731) 424-0774
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2018
Last NPPES UpdateFebruary 16, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1588158455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 24105
27A MEDICAL CENTER DR, Jackson, TN 38301

Other Identifiers 1

MedicaidQ044932TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Ashley Burton Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517219611
PECOS Enrollment IDI20181017001432
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tonya Burton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 242 clinicians in this Medicare group
Gastroenterology
8000 WOLF RIVER BLVD STE 200
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 154 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Gastroenterology)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Practitioner
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Practitioner (Family)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Internal Medicine (Gastroenterology)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Internal Medicine (Gastroenterology)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Practitioner (Family)
27A MEDICAL CENTER DR
JACKSON, TN 38301

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 Tonya Burton's NPI number?

The NPI number for Tonya Burton is 1588158455. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Tonya Burton located?

Tonya Burton practices at 27A Medical Center Dr, Jackson, TN 38301. The listed phone number is (731) 280-0157.

What is Tonya Burton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonya Burton enrolled in Medicare?

Yes. Tonya Burton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tonya Burton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Burton reassigns Medicare benefits to 2 organizations: West Tennessee Medical Group Inc (Jackson, TN) and Gastroenterology Center Of The Midsouth PLLC (Germantown, TN). Each 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 Tonya Burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Burton accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Tonya Burton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tonya Burton affiliated with any hospitals?

According to CMS data, Tonya Burton is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Burton was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.