Dr Latasha Burgess, MD - Medicare Family Practice in Fairburn, GA

Dr Latasha Burgess, MD is a medicare enrolled "Family Medicine" physician in Fairburn, Georgia. She went to Emory University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. Her current practice location is 277 Ne Broad St, Fairburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 892-7802.

Dr Latasha Burgess is licensed to practice in Georgia (license number 049877) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639240765.

Contact Information

Dr Latasha Burgess, MD
277 Ne Broad St,
Fairburn, GA 30213-1474
(770) 892-7802
(770) 892-7961

Map and Direction




Physician's Profile

Full NameDr Latasha Burgess
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location277 Ne Broad St, Fairburn, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Latasha Burgess attended and graduated from Emory University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1639240765
  • Provider Enumeration Date: 11/12/2006
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870502131
  • Enrollment ID: I20060413000518

Medical Identifiers

Medical identifiers for Dr Latasha Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639240765NPI-NPPES
000915846DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 049877 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomePeachtree city, GAHome health agency
Piedmont Fayette HospitalFayetteville, GAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Latasha Burgess allows following entities to bill medicare on her behalf.
Entity NamePersonal Touch Medical Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275604308
PECOS PAC ID: 3476562612
Enrollment ID: O20060417000158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Latasha Burgess is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Latasha Burgess, MD
277 Ne Broad St,
Fairburn, GA 30213-1474

Ph: (770) 892-7802
Dr Latasha Burgess, MD
277 Ne Broad St,
Fairburn, GA 30213-1474

Ph: (770) 892-7802

Reviews and Comments


Family Medicine Doctors in Fairburn, GA

Dr. Renato Chaves Souza, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 204 Senoia Rd, Fairburn, GA 30213
Phone: 770-964-9759    Fax: 770-964-7001
Shelley Albertson, FNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8028 Senoia Rd Ste 100, Fairburn, GA 30213
Phone: 404-596-4329    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.