1. Home
  2. Directory
  3. Georgia
  4. Dallas
  5. Nurse Practitioner
  6. NPI Profile

MRS. CHARISSE ALENE BRAXTON FNP
NPI 1285678482
Nurse Practitioner - Family in Dallas, GA

Active since June 16, 2006
3615 MARIETTA HWY, DALLAS, GA 30157(770) 505-9592(770) 505-7480 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Charisse Alene Braxton Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CHARISSE ALENE BRAXTON FNP (NPI 1285678482) is an individual family provider in Dallas, Georgia, licensed in Georgia (RN143102) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1285678482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHARISSE ALENE BRAXTONCredential: FNP
Location Address3615 MARIETTA HWYDallas, GA 30157-9472
Mailing Address9 Greenway Plz, Suite 2950Houston, TX 77046-0905 · (866) 607-7334 · Fax (713) 358-4849
Phone(770) 505-9592
Fax(770) 505-7480
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1285678482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN143102
Also ListedRegistered NurseTaxonomy 163W00000X · License RN143102 (CA)
3615 MARIETTA HWY, Dallas, GA 30157
Open in Google Maps ↗

Other Names 1

Former Name (1)Charisse Alene Gathers

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3615 MARIETTA HWY
DALLAS, GA 30157
Paulding County (770) 445-9096
WAL-MART STORES EAST, LP
Eyewear Supplier
3615 MARIETTA HWY
DALLAS, GA 30157
Paulding County (770) 445-2141
REDICLINIC US, LLC
Clinic/Center
3615 MARIETTA HWY
DALLAS, GA 30157
Paulding County (866) 607-7334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charisse Braxton's NPI number?

The NPI number for Charisse Braxton is 1285678482. It was assigned to this individual provider in the NPPES registry on June 16, 2006. The provider is also known as Charisse Alene Gathers.

Where is Charisse Braxton located?

Charisse Braxton practices at 3615 Marietta Hwy, Dallas, GA 30157. The listed phone number is (770) 505-9592.

What is Charisse Braxton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charisse Braxton was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.