MEDICARE: BURRIS MEDICAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347B00000X	Bus
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1376474965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURRIS MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	898 OAK ST SW UNIT 3425
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1974
Country	:	US
Telephone Number	:	678-850-3509
Fax Number	:	678-850-3509

Provider Business Practice Location Address
First Line	:	898 OAK ST SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1959
Country	:	US
Telephone Number	:	678-850-3509
Fax Number	:	678-850-3509

Authorized Official
Title or Position	:	FAMILY AND AESTHETIC MEDICINE
Name	:	NIJAH BURRIS
Credential	:	MD
Telephone Number	:	678-850-3509

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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