Individual provider Active NPI

Charlene N Bunger, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1508864406
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
23863 Issued in SC
Practice address
300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone
(629) 206-6858
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 36757 TN
Women's Health Nurse Practitioner 363LW0102X APRN11038922 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 23863 SC Primary

Addresses

Primary practice location

300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801

Mailing address

170 Village Center Blvd
Myrtle Beach, SC 29579-6618
Phone (843) 449-5848

Other practice location 1

170 Village Center Blvd
Myrtle Beach, SC 29579-6618
Phone (843) 449-5848

Other practice location 2

1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SC, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160412001150 MN Practitioner - Nurse Practitioner 7517975840
I20201008000802 SC Practitioner - Nurse Practitioner 7517975840 Reassigns benefits to 1 organization
I20241016002260 TN Practitioner - Nurse Practitioner 7517975840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547-6645

137 Thistleton Way
St Augustine, FL 32092-3281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36757TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 9, 2025 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Hermd Medical Services TN, P.C. CurrentSince Sep 30, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 9, 2025 Accepting new patients
John a. Haugen Associates, P.a. Past Accepting new patients
Absolute OBGYN LLC Past Accepting new patients
Diana Health TN, PC Women'S Health PastSince Sep 11, 2023 Accepting new patients
McLeod Physician Associates II Past Accepting new patients
Diana Health FL P.a. Women'S Health PastSince Jul 21, 2024 Accepting new patients

Locations

3400 W 66th St
Ste 240
Edina, MN 55435
Phone (952) 857-0304

801 Nicollet Mall
Ste 400
Minneapolis, MN 55402
Phone (612) 333-2503

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

3400 W 66th St
Ste 385
Minneapolis, MN 55435
Phone (952) 920-2761

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

8350 E Kemper Rd
Ste A
Cincinnati, OH 45249
Phone (513) 256-1551

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

170 Village Center Blvd
Myrtle Beach, SC 29579
Phone (843) 449-5848

7020 Berry Farms Xing
Unit B
Franklin, TN 37064
Phone (513) 404-4166

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
  • Direct secure messaging: charlene.bunger.1@23211.direct.athenahealth.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1508864406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 VILLAGE CENTER BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796618",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 310",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676801",
            "telephone_number": "629-206-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Village Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295796618",
            "country_code": "US",
            "telephone_number": "843-449-5848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 Mar Walt Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476645",
            "country_code": "US",
            "telephone_number": "850-243-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNGER",
        "first_name": "CHARLENE",
        "middle_name": "N",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "36757",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11038922",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "23863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.