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NPISignal

Individual Healthcare Provider

Mark Lloyd Burson, M.D.

NPI Record: ActiveUrology
NPI1104808229
Macon, Georgia

Provider's NPPES record last updated: June 19, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1104808229
Primary Specialty
Urology
Practice Location
Macon, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 6:58 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Allopathic & Osteopathic Physicians

    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 congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

    Taxonomy code 208800000X

Provider-Reported License Information

Urology (Georgia)
36112
Urology (Virginia)
0101265824
Urology (Colorado)
CDR.0004667
Urology (Tennessee)
40439
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

330 Hospital Dr Ste 315

Macon, Georgia 31217-8042

Phone: (478) 742-5331

Additional Practice Location

1802 Braeburn Dr

Salem, Virginia 24153-7357

Phone: (540) 772-3702

Fax: (540) 772-3703

Additional Practice Location

107 Ledford Mill Rd

Tullahoma, Tennessee 37388-2278

Phone: (931) 454-1955

Fax: (931) 454-1956

Additional Practice Location

1010 Three Springs Blvd Ste 270

Durango, Colorado 81301-8296

Phone: (970) 764-3845

Fax: (970) 764-3823

Record Information

Enumeration Date
November 15, 2005
Provider's NPPES Record Last Updated
June 19, 2025
Certification Date
June 19, 2025
NPISignal NPPES Dataset
August 2026

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