Charlene Pugh, NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN115365 Issued in GA

Practice address

1574 Williamson Rd
Griffin, GA 30224-3931

Phone

(770) 358-5252

NPI assigned

Mar 21, 2008

Last updated

Jan 23, 2017By 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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 Community Service Board

  • Community/Behavioral Health Agency
  • Jackson, GA
  • NPI 1265610406
  NPD (past)
• McIntosh Trail Community Service Board

  dba Behavioral Health Center

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1295903862
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1538330170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 WILLIAMSON RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243931",
            "telephone_number": "770-358-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 WILLIAMSON RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243931",
            "telephone_number": "770-358-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "CHARLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN115365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provision Care Consultants LLC
• Pruitthealth - Griffin, LLC (PruittHealth - Griffin)
• Pruitthealth Home Health - South Atlanta, Inc. (PruittHealth @ Home - Griffin)
• Anita Pryor, NP
• Roshanda Puckett
• Vanita S Pulliam, MSN, ACNP
• Patricia Putman, M.D.
• Kimberly Puzio, MS
• Abdel Rahman Ali Atieh Qamar, MD
• Qualitee Care

• General Practice Registered Nurse in Griffin, GA
• Providers in Griffin, GA by specialty
• General Practice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.