Catherine Grace Burks, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN094736 Issued in GA

Practice address

101 Owens LN
Barnesville, GA 30204-1438

Phone

(770) 358-8507

NPI assigned

May 2, 2019

Last updated

May 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McIntosh Trail CSB

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1295903136
  NPD (past)
• McIntosh Trail CSB

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1841478013
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1245895572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OWENS LN",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041438",
            "telephone_number": "770-358-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OWENS LN",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041438",
            "telephone_number": "770-358-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "CATHERINE",
        "middle_name": "GRACE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN094736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas-John Patrick Beebe, PHARM.D.
• Stacie Boyt, PHARMD
• Brenda Koplan,LCSW
• Brianna Lynn Brown
• Thomas Aaron Buice, M.D.
• Lindsey Nicole Burnett, M.D.
• Kasi Byrd, RN
• Charlaya D Campbell, MD
• Carters Drug Store
• Gerald E Cauthen, DDS

• Licensed Practical Nurse in Barnesville, GA
• Providers in Barnesville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.