JACQUELYN BURT – Family Medicine Physician, NPI 1003238940

JACQUELYN BURT is a healthcare provider. based in Kingsport, Tennessee. specializing in Family Medicine Physician. They hold a License No. 27664 (TN). The NPI Number for JACQUELYN BURT is 1003238940

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN BURT
NPI
1003238940
Phone
(423) 400-8722
Address
105 W STONE DR
Enumeration Date
13 January 2014
Last Update Date
26 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2766284406
Graduation Year
1987 (39 years ago)
PAC ID
7810129103
Group Practice PAC ID
8123291739
Professional Enrollment ID
I20150122001921
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for JACQUELYN BURT

  • 105 W STONE DR

    SUITE 6A

    KINGSPORT, TN 376603365

    Phone: (423) 400-8722

    Fax: (423) 408-7405

    Type: Mailing

  • 24530 FALCON PLACE BLVD

    SUITE 100

    ABINGDON, VA 242117665

    Phone: (276) 619-0075

    Fax: (276) 619-0077

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37660)

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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: 8123291739View full group profile
NameSpecialtyState
SHERRY LYNN GOODE (NP)
-TN
DR. WILLIAM ROBERT BRIDGES (M.D.)
General SurgeryMD
ROGER J MCSHARRY (MD)
Pulmonary Disease, Internal MedicineTN
DR. RAIF WASSEF ELSAKR (M.D.)
G A S T R O E N T E R O L O G YTN
DR. JON WILLIAM TAVEAU
N E U R O S U R G E R YIL
MRS. PAGE S STERLING (APRN)
Nurse PractitionerTN
GABRILLE ELAINE HAMILTON (FNP)
-TN
MR. WESLEY EUGENE PERRY (PA)
Physician AssistantKY
ROBERT M HARRIS (MD)
Orthopedic SurgeryGA
WILLIAM J MCINTYRE (MD)
-KY

Reviews

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Frequently asked questions

How do payers reference JACQUELYN BURT?
For JACQUELYN BURT, use NPI 1003238940 as the unique 10-digit identifier.
Would JACQUELYN BURT appear as active to a payer?
You can treat JACQUELYN BURT as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JACQUELYN BURT?
JACQUELYN BURT's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Tennessee is JACQUELYN BURT registered?
Use Kingsport, Tennessee as the headline location for JACQUELYN BURT here.
When was this NPI issued?
Enumeration for JACQUELYN BURT is noted as January 13, 2014 where the registry provides it.