JESSEN MECHELL BURK DO
NPI 1669175402
Student in an Organized Health Care Education/Training Program in Rome, GA
About Jessen Mechell Burk Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSEN MECHELL BURK DO (NPI 1669175402) is an individual student in an organized health care education/training program in Rome, Georgia and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessen Mechell Burk Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROME, GA 30165
ROME, GA 30165
ROME, GA 30165
ROME, GA 30165
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 Jessen Burk's NPI number?
The NPI number for Jessen Burk is 1669175402. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Jessen Burk located?
Jessen Burk practices at 501 Redmond Rd NW, Rome, GA 30165. The listed phone number is (706) 291-0291.
What is Jessen Burk's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jessen Burk enrolled in Medicare?
Yes. Jessen Burk is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessen Burk was last updated on February 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessen Mechell Burk, DO · NPI 1669175402
Student in an Organized Health Care Education/Training Program provider in Rome, Georgia. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1669175402 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 501 REDMOND RD NW, Rome, GA 30165-1415
- **Phone:** (706) 291-0291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669175402) · Data from the CMS NPPES public registry.