Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Shade Burgess, MD

Individual provider Vascular Surgery Physician · NPI 1043201361

Jason Shade Burgess, MD is a General Surgery in Charlotte, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1996, 30 years ago. Practices with Novant Health Prep II LLC, a 47-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112
Phone: (704) 333-0741
Fax: (704) 333-3356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 200200093 (NC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 200200093 (NC)

Record details

NPI number1043201361
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Novant Health Prep Ii Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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