Barry A. Burns, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001487 Issued in GA

Practice address

4265 Iris Brooke LN
Snellville, GA 30039-8423

Phone

(770) 982-4496

Fax

(770) 982-4496

NPI assigned

Dec 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Greater Gwinnett Physician Practice Company

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1891737425
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1902109283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 IRIS BROOKE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398423",
            "telephone_number": "770-982-4496",
            "fax_number": "770-982-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 IRIS BROOKE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398423",
            "telephone_number": "770-982-4496",
            "fax_number": "770-982-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "BARRY",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000745368C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Building Successful Lives Speech & Language Services LLC
• Samuel Mark Bullard
• Burgeon Medix LLC
• A'Shani Nakhiya Burke
• Anastasia Burns, MEDICAL STUDENT
• Kathy Frances Burns, OTR
• Christine M Burrell, LCSW
• Jennifer Shannon Burrell, MD
• Shana Burwell
• Tovvah Bushay-Clark, RN

• Clinical Social Worker in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.