Organization Active NPI

Charles R Burnett, Jr.

  • Specialist
  • Memphis, TN
National Provider Identifier
1780737833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHARLES R BURNETT, JR.
Practice address
50 Humphreys Ctr
Suite 20
Memphis, TN 38120-2368
Phone
(901) 747-3530
Fax
(901) 755-4307
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan F Burnett
Title
Business Administrator
Phone
(901) 755-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

50 Humphreys Ctr
Suite 20
Memphis, TN 38120-2368

Mailing address

PO Box 38188
Germantown, TN 38183-0188
Phone (901) 755-4306

Other names 1

  • Charles R. Burnett, MD Doing business as

National Provider Directory

National Provider Directory

Locations

50 Humphreys Center Dr
Ste 20
Memphis, TN 38120
Phone (901) 747-3530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780737833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38188",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381830188",
            "telephone_number": "901-755-4306",
            "fax_number": "901-755-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HUMPHREYS CTR",
            "address_2": "SUITE 20",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202368",
            "telephone_number": "901-747-3530",
            "fax_number": "901-755-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R BURNETT, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "901-755-4306",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles R. Burnett, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.