Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK BURTON RD
NPI 1649992355
Dietitian, Registered in Fort Benning, GA

Q: What is Jack Burton's NPI number?

The NPI number for Jack Burton is 1649992355. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Jack Burton's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Burton was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since September 19, 2022

6600 VAN AALST BLVD, FORT BENNING, GA 31905(202) 939-2577 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Sep 19, 2022 (2 updates tracked since 2022).

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About Jack Burton Rd NPPES

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

JACK BURTON RD (NPI 1649992355) is an individual dietitian, registered in Fort Benning, Georgia, licensed in South Carolina (2804) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1649992355

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameJACK BURTONCredential: RD

Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102

Mailing Address6600 Van Aalst BlvdFort Moore, GA 31905-2102

Phone(202) 939-2577

Sole ProprietorNo

Enumeration DateSeptember 19, 2022

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1649992355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in SC · 2804

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

6600 VAN AALST BLVD, Fort Benning, GA 31905

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Other Providers at the Same Location NPPES 20

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

DR. DAVID SORENSEN MD

Family Medicine

6600 VAN AALST BLVD
FORT BENNING, GA 31905

Muscogee County (762) 408-0374

DR. THOMAS ALEXANDER O'HARA DO

Surgery

6600 VAN AALST BLVD
FORT MOORE, GA 31905

Muscogee County (624) 083-6697

DR. JOSHUA ALLEN WILSON MD

Hospitalist

6600 VAN AALST BLVD
FORT BENNING, GA 31905

Muscogee County (762) 408-2273

ERIC HENDERSON

Nurse Anesthetist, Certified Registered

6600 VAN AALST BLVD
FORT MOORE, GA 31905

Muscogee County (762) 408-3107

DR. STEVEN ELIOT REISSMAN D.O.

Family Medicine

6600 VAN AALST BLVD
FORT BENNING, GA 31905

Muscogee County (706) 544-3218

DR. ANTONIO ZIHERL D.O.

Emergency Medicine

6600 VAN AALST BLVD
FORT MOORE, GA 31905

Muscogee County (762) 408-2604

DR. BROOKE KAHL CRNA

Nurse Anesthetist, Certified Registered

6600 VAN AALST BLVD
FORT MOORE, GA 31905

Muscogee County (762) 408-3230

DR. CHARLES WARREN GILES MOUNTS

Family Medicine (Sleep Medicine)

6600 VAN AALST BLVD
FORT BENNING, GA 31905

Muscogee County (762) 408-3426

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 Jack Burton's NPI number?

The NPI number for Jack Burton is 1649992355. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Jack Burton located?

Jack Burton practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (202) 939-2577.

What is Jack Burton's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Jack Burton was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.