DR. SAMUEL EDWARD BURKETT M.D.
NPI 1699749069
Internal Medicine - Pulmonary Disease in Augusta, GA

Active since February 14, 2006PECOS Enrolled
3624 J DEWEY GRAY CIR STE 308, AUGUSTA, GA 30909(706) 922-7400 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samuel Edward Burkett M.d. NPPES

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

DR. SAMUEL EDWARD BURKETT M.D. (NPI 1699749069) is an individual pulmonary disease provider in Augusta, Georgia, licensed in Georgia (89373) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Eisenhower.

NPPES Registry Identity

NPI1699749069
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SAMUEL EDWARD BURKETTCredential: M.D.
Location Address3624 J DEWEY GRAY CIR STE 308Augusta, GA 30909-6580
Mailing Address300 W Hospital Rd # 7b-48Fort Eisenhower, GA 30905-5741 · (210) 846-3543 · Fax (706) 787-6829
Sole ProprietorYes
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1699749069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in GA · 89373
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101239063 (VA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 89373 (GA)
3624 J DEWEY GRAY CIR STE 308, Augusta, GA 30909

Secondary Practice Location 1

Location 1300 W Hospital Rd # 7B-48Fort Eisenhower, GA 30905-5741 · Phone (210) 846-3543 · Fax (706) 787-6829

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Edward Burkett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Samuel Burkett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1265 INTERSTATE PKWY
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 90 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers25 claims25 services$29.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers18 claims18 services$50.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers19 claims44 services$20.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers24 claims124 services$12.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers36 claims36 services$43.41 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers32 claims32 services$13.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physician Assistant
3624 J DEWEY GRAY CIR STE 308
AUGUSTA, GA 30909

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 Samuel Burkett's NPI number?

The NPI number for Samuel Burkett is 1699749069. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Samuel Burkett located?

Samuel Burkett practices at 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909. The listed phone number is (706) 922-7400.

What is Samuel Burkett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Samuel Burkett enrolled in Medicare?

Yes. Samuel Burkett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Burkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Burkett reassigns Medicare benefits to Neighborhood Improvement Project Inc (Augusta, GA). The 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 Samuel Burkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Burkett accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Samuel Burkett 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.

When was this NPI record last updated?

The NPPES record for Samuel Burkett was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.