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

Mrs. Jodi Ann Burgess, PA

Individual provider Dermatology Physician · NPI 1508275678

Mrs. Jodi Ann Burgess, PA is a Physician Assistant in Humboldt, Tennessee. Qualified in 2014, 12 years ago. Practices with Levy Dermatology, PC, a 15-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

701 Medical Park Dr
Humboldt, TN 38343-3034
Phone: (731) 784-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2584 (TN)
Dermatology Physician Taxonomy 207N00000X · Licence 2584 (TN)

Record details

NPI number1508275678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 3, 2014
Last updated in NPPESOctober 10, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Levy Dermatology, Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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