MS. LILLIE BURNETT


Address: 450 Northside Cherokee Blvd, Canton, GA 30115-8015
Phone: 7702241000

MS. LILLIE BURNETT (NPI# 1821070020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821070020
Entity Type Individual
Full Name MS. LILLIE BURNETT
Credential APRN, BC
Practice Address 450 Northside Cherokee Blvd
Canton
GA 30115-8015
Mailing Address 2540 Windy Hill Rd Se
Marietta
GA 30067-8605
Practice Telephone 7702241000
Practice Fax Number 7702242451
Mailing Telephone 7706441570
Mailing Fax Number 7706441576
Enumeration Date 2005-11-15
Last Update Date 2018-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
RN063097 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 450 NORTHSIDE CHEROKEE BLVD
City CANTON
State GA
Zip Code 30115-8015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295732600 Paul J Hyler Internal Medicine 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2005-06-30
1790390706 Bradley Louis Mccoul Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-09-15
1164035747 Candice Caroline Bramlett Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-25
1336751494 Kalum Leiba Anesthesiologist Assistant 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-20
1093339533 Tara Talbott Oberman Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-06-01
1568085157 Ross W Devantier Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-19
1427679034 Joseph Liverman Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-05
1518595503 Erica D Burns Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-03-27
1093346066 Emily Beecher Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-01-29
1497393268 Stephanie Knight Ellis Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528408788 Teri Ann Lieser Clinical Nurse Specialist 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 2013-07-02
1497842934 Michele M. Valentino Clinical Nurse Specialist 733 Market Ave S, Canton, OH 44702-2165 2006-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346638285 Robin Raiken Bledsoe Clinical Nurse Specialist 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836 2014-12-30
1932529021 Dorothy Rainey Clinical Nurse Specialist 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 2014-04-16
1245571082 Deborah A. Becker Clinical Nurse Specialist 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 2013-03-04
1295062289 Jane A. Frederick Clinical Nurse Specialist 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 2009-11-11
1548445091 Jan T Nodine Clinical Nurse Specialist 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845 2008-01-03
1770791337 Jane Ellen Welch Clinical Nurse Specialist 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 2007-05-18
1720104102 Kelly West Gilfillan Clinical Nurse Specialist 700 Highway 341 S, Barnesville, GA 30204-3470 2007-03-21
1457822348 Cathy Mcelveen Billiter Clinical Nurse Specialist 1 Freedom Way # 26, Augusta, GA 30904-6258 2018-12-17
1366797391 Julie Inez Burke Clinical Nurse Specialist 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 2012-07-16
1497035380 Dene Ruth Bellamy Clinical Nurse Specialist 3073 Panthersville Road, Decatur, GA 30034 2011-08-23
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Competitor

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City CANTON
Zip Code 30115

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Dataset Information

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.

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