Charlene Norris

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001151 Issued in GA

Practice address

Eisenhower Army Medical Center
300 E. Hospital Rd
Fort Gordon, GA 30905

Phone

(703) 862-6793

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1467781427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 COOSAW CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "300 E. HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "703-862-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "CHARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3057",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000532",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrutha Nataraj, M.D
• National Vision, Inc.
• Richard Sean Neary, PH.D.
• Harry D Nelson-Abbott, M.A.
• Eric Samuel Nelson, DPT
• Ina Marie Norsworthy, PHARMD
• Christopher O'Mara, DO
• Kimberly Ann Oatman, RN
• Laura Anne Obert, RD
• Frederick Paul Obrien III, M.D.

• Occupational Therapy Assistant in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.