CHARLES H BURTON JR. (NPI# 1952446817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952446817 |
| Entity Type | Individual |
| Full Name | CHARLES H BURTON JR. |
| Credential | M.D. |
| Practice Address |
1587 Phoenix Blvd Suite 6 College Park GA 30349-5540 |
| Practice Telephone | 7709946806 |
| Practice Fax Number | 7709946807 |
| Mailing Telephone | 7709946806 |
| Mailing Fax Number | 7709946807 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 023025 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00385206C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154470938 | Charles L Burton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7822 San Lucas Dr, Houston, TX 77083-3762 | 2007-01-09 |
| 1396809034 | Charles Henry Burton Jr. | Dentist | 1725 East Union Street, Greenville, MS 38701 | 2006-12-20 |
| 1407951320 | Charles David Burton | Optometrist | 245 S 6th St, Gadsden, AL 35901-4102 | 2006-09-14 |
| 1902910284 | Charles V Burton | Specialist | 514 Saint Peter St Ste 220, Saint Paul, MN 55102-1020 | 2006-08-17 |
| 1740849512 | Charles Ashton Burton | Physical Therapy Assistant | 780 Delaware St, Denver, CO 80204-4532 | 2019-06-06 |
| 1528027828 | Charles Russell Burton | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| Street Address |
1587 PHOENIX BLVD SUITE 6 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316269582 | Sheryl L. Cook | Nurse Practitioner | 1587 Phoenix Blvd, Suite 6, College Park, GA 30349-5540 | 2010-02-15 |
| 1457472698 | Just for You Personal Support Services, Inc. | Home Health | 1587 Phoenix Blvd, Suite 4, College Park, GA 30349-5540 | 2007-04-03 |
| 1265577159 | Nova Obgyn, PC | Specialist | 1587 Phoenix Blvd, Suite6, College Park, GA 30349-5540 | 2007-02-20 |
| 1700936291 | Just for You Personal Support Services, Inc. | Home Health | 1587 Phoenix Blvd, Suiite 4, College Park, GA 30349-5540 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558586966 | Stephanie Bean | Specialist | 8905 48th Ave, College Park, MD 20740-2003 | 2007-04-13 |
| 1780713156 | Alpha Teresa Banks | Specialist | 7309 Baltimore Ave, Suite 220, College Park, MD 20740-3200 | 2007-03-03 |
| 1467851295 | Eric Schuettenberg | Specialist | 4321 Hartwick Rd, Suite 101, College Park, MD 20740-3210 | 2014-08-18 |
| 1740563188 | Chinedu Onyeji | Specialist | 4321 Hartwick Rd, Suite 101, College Park, MD 20740-3210 | 2011-09-22 |
| 1336327402 | Victor J Blake Associates | Specialist | 1897 Godby Rd, College Park, GA 30349-5235 | 2008-01-31 |
| 1265577159 | Nova Obgyn, PC | Specialist | 1587 Phoenix Blvd, Suite6, College Park, GA 30349-5540 | 2007-02-20 |
| 1972674190 | Iqbal Hussain Dhanani | Specialist | 1720 Phoenix Blvd, Suite 570, College Park, GA 30349-5594 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113718 | Jennifer Lynn Harper | Specialist | 46 Rice Lewis Gilliard Dr, Toccoa, GA 30577-3683 | 2020-10-30 |
| 1265030407 | Sandra W Paul | Specialist | 4185 Glad Morning Dr, Atlanta, GA 30349-3902 | 2020-10-10 |
| 1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
| 1053926154 | Idoc Virtual Neuro Critical Care LLC | Specialist | 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 | 2020-09-15 |
| 1649885179 | Rakiya Parker | Specialist | 4814 Stone Mountain Hwy Ste 9, Lilburn, GA 30047-4649 | 2020-09-11 |
| 1649888785 | Valeria Kim West | Specialist | 204 W Oglethorpe Hwy, Hinesville, GA 31313-3615 | 2020-07-15 |
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1316566755 | Kindle-simone Friedlander | Specialist | 13988 Sunfish Bnd, Alpharetta, GA 30004-0605 | 2020-04-15 |
| 1184252595 | Peachtree Surgical Assistants Inc | Specialist | 59 Anderson Ave Apt 127, Canton, GA 30114-2330 | 2020-03-31 |
| 1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
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| 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.