P Praxis·MD
● Active Type 1 · Individual

Mark Lloyd Burson, M.D.

Urology·MacOn, GA· NPI 1104808229 · Enumerated 2005 · 20 years on NPI
Burson is 1 of 12 urology providers in MacOn and 1 of 563 in Georgia.
NPI age
20 years
Enumerated 2005-11-15
Primary specialty
Urology
Plus 3 subspecialties
Licensed in
GA, VA, CO, TN
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 563 active urology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
4 states
Top 87% — 13% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
330 Hospital Dr Ste 315
MacOn, GA 312178042
📞 4787425331
Mailing address
330 Hospital Dr Ste 315
MacOn, GA 312178042

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1802 Braeburn Dr
Salem, VA 241537357
📞 5407723702fax 5407723703
Location 3
107 Ledford Mill Rd
Tullahoma, TN 373882278
📞 9314541955fax 9314541956
Location 4
1010 Three Springs Blvd Ste 270
Durango, CO 813018296
📞 9707643845fax 9707643823

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    GA license #36112VA license #0101265824CO license #CDR.0004667TN license #40439 taxonomy 208800000X

Identifiers

TypeValueNotes
01 (TN) 4116328 BCBS
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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