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Deactivated NPI 1235368671 Deactivated / Inactive NPI Female Practitioner

Charlene Burse , LPN

Licensed Practical Nurse • Waycross, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charlene Burse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2009
NPI Deactivation Date September 13, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Charlene Burse, LPN was a registered Licensed Practical Nurse practicing in Waycross, GA. Throughout an active medical career spanning 12 years, Charlene Burse provided care at the practice location at 1007 MARY ST until profile deactivation on 2021-09-13.

Practice Location & Contact Primary Location

Practice Address

1007 Mary St

Waycross, GA 315033823

Telephone 9124498601
Associated Practice Facility / Clinic
🏢 Bobby Bennett Host Home Facility NPI 1639495682

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Waycross, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Waycross, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN028447

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jacqueline Dunnom , LPN

Licensed Practical Nurse

NPI 1063644128

Licensed Practical Nurse

Robin Denison , LPN

Licensed Practical Nurse

NPI 1124251772

Licensed Practical Nurse

Earnie Deen , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1285867911

Registered Nurse

Thomastine Gadson , LPN

Licensed Practical Nurse

NPI 1326270489

Licensed Practical Nurse

Tammy Flannery , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1417189580

Registered Nurse

Harry Grace , LPN

Licensed Practical Nurse

NPI 1598997660

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2021

Record deactivated on September 13, 2021

NPI Profile Active July 07, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2009

Registered at 1007 MARY ST, WAYCROSS, GA 315033823 (Tel: 9124498601)

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Updated Business Mailing Address July 07, 2009

Registered at 1007 MARY ST, WAYCROSS, GA 315033823 (Tel: 9124498601)

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Provider Name / Credentials Updated July 07, 2009

Recorded as CHARLENE BURSE, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2009

Licensed Practical Nurse (License #LPN028447 in GA)

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Initial NPI Registration & Enumeration July 07, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235368671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2009
Last Update: July 07, 2009
Deactivation Date: September 13, 2021

Mailing Address

1007 Mary St

Waycross, GA 315033823

Phone: 9124498601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.