Charles Bryan Burgess, MS, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC005713 Issued in GA

Practice address

9 Dunwoody Park
Dunwoody, GA 30338-7407

Phone

(770) 744-5055

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1578005971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "770-744-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "770-744-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "CHARLES",
        "middle_name": "BRYAN",
        "credential": "MS, APC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Brown, PHD, MPH
• Ashley Brunner, DPT
• Jessie Emma Brutus-Darius, M.D.
• Katherine Burden
• Cheryl Burdette, ND
• Elizabeth K Eversbusch Burke, DO
• Tracy Fossas Burke
• Jason Bussey, MA, NCC, ABCP,
• Haley Dillon Byers, PHD
• C.E. Bailey, M.D., LLC

• Mental Health Counselor in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.