RICHARD BURRELL (PA-C, ATC) – Physician Assistant, NPI 1265810204

RICHARD BURRELL (PA-C, ATC) is a healthcare provider. based in Brunswick, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC. They hold a License No. 7565 (GA). The NPI Number for RICHARD BURRELL (PA-C, ATC) is 1265810204

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD BURRELL (PA-C, ATC)
NPI
1265810204
Phone
(912) 265-9006
Address
3231 GLYNN AVE
Enumeration Date
11 May 2015
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192213717
Graduation Year
2015 (11 years ago)
PAC ID
4082927314
Group Practice PAC ID
5597752063
Professional Enrollment ID
I20150716000182
Address ID
GA315486515KI1390XEXTX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,463 PHYSICIAN ASSISTANT in GA

Provider Addresses for RICHARD BURRELL (PA-C, ATC)

  • 3231 GLYNN AVE

    BRUNSWICK, GA 315204851

    Phone: (912) 265-9006

    Fax: (912) 554-3636

    Type: Mailing

  • 3231 Glynn Ave

    Brunswick, GA 315204851

    Phone: (912) 265-9006

    Fax: (912) 554-3636

    Type: Location

  • 1111 GLYNCO PKWY STE 300

    BRUNSWICK, GA 315257933

    Phone: (912) 262-6552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $27,475.

Total Amount is formed as General ($27,475) + Research ($0) + Ownership ($0) = $27,475.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: SI-BONE, INC. ($25,307).

Total Amount

$27,475

General + Research + Ownership

Payments

141

Total payment records

General Amount

$27,475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150716000182IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes233144$0
20610Aspiration and/or injection of fluid from large joint8632$0
J1030Injection, methylprednisolone acetate, 40 mg5931$0
72114X-ray lower and sacral spine, minimum of 6 views4848$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3320$0
View full utilization report →

Insurance plans in this area (ZIP 31520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597752063View full group profile
NameSpecialtyState
Family Practice, General PracticeGA
Physical Therapist In Private PracticeNY
Nurse PractitionerGA
Family Practice, Sports MedicineFL
Internal MedicineGA
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineGA
N E U R O S U R G E R YGA
Family PracticeGA
Orthopedic SurgeryFL
Pain Management, Anesthesiology, Interventional Pain ManagementCO

Reviews

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Frequently asked questions

How is RICHARD BURRELL (PA-C, ATC) identified in CMS data?
CMS-hosted NPPES data lists RICHARD BURRELL (PA-C, ATC) with NPI 1265810204.
Can I rely on RICHARD BURRELL (PA-C, ATC) being an active provider?
As of the registry snapshot, RICHARD BURRELL (PA-C, ATC) is marked active.
What is RICHARD BURRELL (PA-C, ATC)'s primary classification?
Physician Assistant is the headline specialty for RICHARD BURRELL (PA-C, ATC) here. Clinical services aligned with this taxonomy classification.
Where should I expect RICHARD BURRELL (PA-C, ATC) on a map?
Expect Brunswick, Georgia as a primary anchor for RICHARD BURRELL (PA-C, ATC) unless the record lists multiple sites.
Why does RICHARD BURRELL (PA-C, ATC) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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