| Mrs Gina Marie Burbank, FNP-C | |
|
6002 Professional Pkwy Ste 140, Douglasville, GA 30134-5603 | |
| (678) 715-9690 | |
| (678) 581-7140 |
| Full Name | Mrs Gina Marie Burbank |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 6002 Professional Pkwy Ste 140, Douglasville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255808754 | NPI | - | NPPES |
| 1255808754 | Other | GA | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN217757 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN-RN217757 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Douglas Hospital | Douglasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gina Marie Burbank, FNP-C 531 Roselane St Nw Ste 710, Marietta, GA 30060-6975 Ph: (678) 331-3297 | Mrs Gina Marie Burbank, FNP-C 6002 Professional Pkwy Ste 140, Douglasville, GA 30134-5603 Ph: (678) 715-9690 |
Baraka Karanja, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6716 Brookfield Way, Douglasville, GA 30134 Phone: 404-671-6418 Fax: 770-683-6949 | |
Amparo Pyronneau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8954 Hospital Dr, Building B, Suite 115, Douglasville, GA 30134 Phone: 770-874-5400 | |
Ms. Tommie Joann Floyd, A.P.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6025 Professional Pkwy Ste 200, Douglasville, GA 30134 Phone: 770-949-0555 | |
Mrs. Patricia Annette Barrett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2710 Fairburn Rd Ste 150, Douglasville, GA 30135 Phone: 943-202-8560 Fax: 470-986-7296 | |
Omowumi Mary Akintimehin-ubeku, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4284 Highway 5, Douglasville, GA 30135 Phone: 855-633-2949 Fax: 855-225-5538 | |
Nina Sheria Lagarde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 678-838-2584 | |
Amanda Ray, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9280 Highway 5, Douglasville, GA 30134 Phone: 770-949-2250 |