DR. CHARLES DUANE BURGESS


Address: 323 Dale St, Columbia, MS 39429-2745
Phone: 6015436932

DR. CHARLES DUANE BURGESS (NPI# 1518900679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518900679
Entity Type Individual
Full Name DR. CHARLES DUANE BURGESS
Credential MD
Practice Address 323 Dale St
Columbia
MS 39429-2745
Practice Telephone 6015436932
Practice Fax Number 8775432125
Mailing Telephone 6015433269
Mailing Fax Number 8775452125
Enumeration Date 2006-06-14
Last Update Date 2012-11-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
04015 MS Allopathic & Osteopathic Physicians
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
04015 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00121519 05
AL 009932869 05
MS MEDICARE RAILROAD 260042748 01

Other Providers CHARLES BURGESS

NPI Name Taxonomy Address Enumeration
1215541040 Charles A Burgess Psychologist 119 Parker Hall, Columbia, MO 65211-2340 2020-08-31
1649355280 Charles M Burgess Jr. Dentist 104 E Gunter Ave, Opp, AL 36467-1604 2006-10-25
1699768333 Charles J Burgess Optometrist 1255 Appleton Rd, Menasha, Menasha, WI 54952-1501 2005-08-29
1578005971 Charles Bryan Burgess Counselor 9 Dunwoody Park, Dunwoody, GA 30338-7407 2016-11-16

Office Location

Street Address 323 DALE ST
City COLUMBIA
State MS
Zip Code 39429-2745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215292941 Psychiatric Services of Columbia Psychiatry & Neurology 323 Dale St, Columbia, MS 39429-2745 2012-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043793508 Carlton Allen Lee Driver 105 Lampton Rd, Columbia, MS 39429 2018-09-11
1396232286 Rose Thompson Licensed Practical Nurse 315 Lampton Hilltop Rd, Columbia, MS 39429 2018-04-17
1972020204 Harry Lewis Speights Jr. Pharmacist Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 2017-08-28
1134676208 Friendship Mb Church Transportation Non-emergency Medical Transport (VAN) 141 Friendship Church Rd, Columbia, MS 39429 2016-09-07
1407232374 Lakesha Shanell Franklin Driver 902 Sunset Circle, Columbia, MS 39429 2015-08-03
1427457084 Forrest County General Hospital Clinic/Center 1560 Sumrall Road, Columbia, MS 39429 2014-08-20
1770873226 Walgreen Co Durable Medical Equipment & Medical Supplies 1028 Highway 98 Byp, Columbia, MS 39429 2011-04-18
1356651772 2nd Generation Healthcare, LLC Skilled Nursing Facility 11 Pecan Drive, Columbia, MS 39429 2010-10-19
1427367218 Kerry M Easterling Sr. Pharmacist 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 2010-09-28
1487887022 Family Health Care Clinic, Inc. Clinic/Center 130 Lexie Road, Tylertown, MS 39429 2009-08-31
Find all providers in zip 39429

Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215292941 Psychiatric Services of Columbia Psychiatry & Neurology 323 Dale St, Columbia, MS 39429-2745 2012-07-09
1497985303 Rushiraj Chaitanya Laiwala Psychiatry & Neurology 2200 Harden St, Columbia, SC 29203 2009-07-27
1588846232 Mitchell Vincent Mathis Jr. Psychiatry & Neurology 10630 Little Patuxent Parkway, Suite 209, Columbia, MD 21044 2007-12-04
1407959349 Lynn Hunter Hackett Psychiatry & Neurology 6439 Garners Ferry Road, Wjb Dorn Va Medical Center, Columbia, SC 29209 2006-09-06
1801860515 Angela Dauby Harper Psychiatry & Neurology 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 2006-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619123056 Richardson Psychiatric P.a. Psychiatry & Neurology 4500 I 55 N Ste 234, Jackson, MS 39211-5932 2008-08-18
1518987478 William G. Clark Psychiatry & Neurology 1603 Old Amy Rd, Laurel, MS 39440-2139 2006-07-20
1932679958 Oceans Mississippi Medical Group LLC Psychiatry & Neurology 152 Gateway Dr, Biloxi, MS 39531-4409 2018-12-03
1932440955 Kasp Consulting Inc Psychiatry & Neurology 960 Avent Dr, Umc Grenada Senior Care Unit, Grenada, MS 38901-5230 2013-03-15
1235346230 North Sunflower Medical Center Psychiatry & Neurology 840 N Oak Ave, Ruleville, MS 38771-3227 2007-05-17
1356440721 William S Cook Jr. Psychiatry & Neurology 4500 I 55 N, Ste 256, Jackson, MS 39211-5930 2006-09-22

Competitor

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City COLUMBIA
Zip Code 39429

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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