TIMOTHY BLAKE BURNHAM FNP
NPI 1598250490
Nurse Practitioner - Family in Unadilla, GA

Active since June 25, 2018
1412 PLUNKET RD, UNADILLA, GA 31091(478) 627-2000 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Blake Burnham Fnp NPPES

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

TIMOTHY BLAKE BURNHAM FNP (NPI 1598250490) is an individual family provider in Unadilla, Georgia, licensed in Georgia (RN209498) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1598250490
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY BLAKE BURNHAMCredential: FNP
Location Address1412 PLUNKET RDUnadilla, GA 31091-5600
Mailing Address1562 Free Gift Church RdEastman, GA 31023-7420 · (478) 488-0445
Sole ProprietorNo
Enumeration DateJune 25, 2018
NPI 1598250490 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 GA · RN209498
1412 PLUNKET RD, Unadilla, GA 31091

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1412 PLUNKET RD
UNADILLA, GA 31091

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 Timothy Burnham's NPI number?

The NPI number for Timothy Burnham is 1598250490. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Timothy Burnham located?

Timothy Burnham practices at 1412 Plunket Rd, Unadilla, GA 31091. The listed phone number is (478) 627-2000.

What is Timothy Burnham's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Burnham was last updated on June 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.