DAVID ALLEN BURRIS SR. (NPI# 1437633088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437633088 |
| Entity Type | Individual |
| Full Name | DAVID ALLEN BURRIS SR. |
| Practice Address |
1875 Fant Dr Fort Oglethorpe GA 30742-3307 |
| Mailing Address |
84 Southshore Dr Fort Oglethorpe GA 30742-4230 |
| Practice Telephone | 7068613387 |
| Practice Fax Number | 7066392054 |
| Mailing Telephone | 7065067792 |
| Mailing Fax Number | 7069444191 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1779 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00604513-GA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205153194 | David Ray Burris | Pharmacist | 651 N Us Highway 183, Leander, TX 78641-8990 | 2010-04-30 |
| Street Address |
1875 FANT DR |
| City | FORT OGLETHORPE |
| State | GA |
| Zip Code | 30742-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393201 | Penelope Duvall | Psychiatry & Neurology | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2005-08-15 |
| 1710540133 | Jamie Lee Sherlock | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2019-04-22 |
| 1598206104 | Shannon Morgan | Social Worker | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2017-03-15 |
| 1447608641 | Pearl Brown | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2016-05-27 |
| 1871978965 | Lookout Mountain Community Services | Intermediate Care Facility, Mental Illness | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2015-07-30 |
| 1376897694 | Abby Wallace | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2012-11-08 |
| 1629344718 | Linda Bradford Fox | Pharmacist | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2012-03-22 |
| 1700187929 | Amy Jo Barron | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2010-11-04 |
| 1609017433 | Barry Kevin Godfrey | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2009-03-06 |
| 1215120043 | Loula Bett Pittman | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2007-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
| 1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
| 1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
| 1538559240 | Michael Dewayne Craig | Physician Assistant | 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 | 2015-02-02 |
| 1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
| 1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
| 1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
| 1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
| Find all providers in zip 30742 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851811780 | Matthew Jon Mcumber | Counselor | 3091 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4003 | 2017-06-21 |
| 1306408984 | Starlan James Childers | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2019-07-03 |
| 1821650409 | Victoria A Sapp | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2019-07-03 |
| 1710540133 | Jamie Lee Sherlock | Counselor | 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307 | 2019-04-22 |
| 1972065308 | Donna Louise Wittmann | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2019-04-04 |
| 1376003343 | Carly Marie Bervoets | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2019-03-25 |
| 1093275398 | Danielle Brown | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2019-03-22 |
| 1063972354 | Mat Taylor Young | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2019-03-22 |
| 1053800813 | Brian Ezra Bates | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2018-05-08 |
| 1407367063 | Anne Cushing | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2017-10-23 |
| Find all providers in FORT OGLETHORPE | ||||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.