Individual provider Active NPI

Charis Burhenn, FNP-BC

  • Family Nurse Practitioner
  • Greensboro, GA
National Provider Identifier
1174353544
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN155512 Issued in GA
Practice address
1000 Cowles Clinic Way - Cypress BLDG
Cy-100
Greensboro, GA 30642-2962
Phone
(706) 341-4886
Fax
(706) 932-8222
NPI assigned
Aug 1, 2024
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN155512 GA Primary

Addresses

Primary practice location

1000 Cowles Clinic Way - Cypress BLDG
Cy-100
Greensboro, GA 30642-2962

Mailing address

1871 Bowden Pond Rd
Greensboro, GA 30642-2962
Phone (770) 656-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN155512GAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1174353544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 BOWDEN POND RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422962",
            "telephone_number": "770-656-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY - CYPRESS BLDG",
            "address_2": "CY-100",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422962",
            "telephone_number": "706-341-4886",
            "fax_number": "706-932-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURHENN",
        "first_name": "CHARIS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.