ELLIOTT BOYD BURDETTE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1386039832

ELLIOTT BOYD BURDETTE (MD) is a healthcare provider. based in Watkinsville, Georgia. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 82847 (GA). The NPI Number for ELLIOTT BOYD BURDETTE (MD) is 1386039832

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ELLIOTT BOYD BURDETTE (MD)
NPI
1386039832
Phone
(706) 436-4692
Address
1060 MELISSA DR
Enumeration Date
1 April 2015
Last Update Date
15 June 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7064753398
Graduation Year
2015 (11 years ago)
PAC ID
3779904321
Group Practice PAC ID
8820023211
Professional Enrollment ID
I20200606000059
Address ID
GA306062797AT1199XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

391 PATHOLOGY in GA

Provider Addresses for ELLIOTT BOYD BURDETTE (MD)

  • 1060 MELISSA DR

    WATKINSVILLE, GA 306774113

    Phone: (706) 436-4692

    Type: Mailing

  • 1199 PRINCE AVE

    ATHENS, GA 306062797

    Phone: (706) 475-3398

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-06

PECOS data refreshed: 2026-05-27

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
I20200606000059IPathologyGATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity790471$0
88341Special stained specimen slides to examine tissue, each additional procedure462127$0
88342Special stained specimen slides to examine tissue, initial procedure289249$0
88112Cell examination of specimen, selective cellular enhancement technique192155$0
88307Pathology examination of tissue using a microscope, moderately high complexity16194$0
View full utilization report →

Insurance plans in this area (ZIP 30677)

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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: 8820023211View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ELLIOTT BOYD BURDETTE (MD)?
NPI 1386039832 is assigned to ELLIOTT BOYD BURDETTE (MD) under the national enumeration system.
Is ELLIOTT BOYD BURDETTE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ELLIOTT BOYD BURDETTE (MD)'s specialty in plain language?
Clinically, the directory lists ELLIOTT BOYD BURDETTE (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does ELLIOTT BOYD BURDETTE (MD) practice in Georgia?
You will see Watkinsville, Georgia on file for ELLIOTT BOYD BURDETTE (MD) alongside any extra practice locations.
Is ELLIOTT BOYD BURDETTE (MD) a real provider?
This page reflects official NPPES data for NPI 1386039832. Always confirm identity and privileges with the practice and licensing boards.

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