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

Nicholas Tate Burris

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417651969

Nicholas Tate Burris is a Family Practice in Madisonville, Kentucky. Graduated from University of Louisville School of Medicine in 2025, 1 year ago. Registered with an NPI since 2023.

Years since qualifying
1
Trained at
University of Louisville School of Medicine
In the registry since
2023

Practice location Address checks out

900 Hospital Dr
Madisonville, KY 42431-1644
Phone: (270) 825-5100
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417651969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address380 Country Club Ln Apt F, Madisonville, KY 42431-3836

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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