Brian K. Nadolne, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

040748 Issued in GA

Legal business name

BRIAN K. NADOLNE, MD, PC

Practice address

1230 Johnson Ferry PL Ste H20
Marietta, GA 30068-2057

Phone

(770) 509-0017

Fax

(770) 971-7818

NPI assigned

Jan 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Keith Nadolne, MD

Title

President

Phone

(770) 509-0017

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice Jyothi Philip, M.D.

  • Family Medicine Physician
  • Canton, GA
  • NPI 1497932040
  NPD (past)
• Deanna Nabors, MD

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1619939204
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1053598151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE H20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682057",
            "telephone_number": "770-509-0017",
            "fax_number": "770-971-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE H20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682057",
            "telephone_number": "770-509-0017",
            "fax_number": "770-971-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. NADOLNE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NADOLNE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-509-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7394560",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00739505E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00243653",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "1073451",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "176614008",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S OF GEORGIA",
            "identifier": "52543664",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5656896",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Brewer, MS
• Carl Brewer
• Caroline M Brewer, P.A
• Deborah A Brewer, NP
• Hope Brewer, LMSW
• Kathleen Bride, CPT
• Bridge Chiropractic and Rehabilitation LLC
• Bridge Health LLC
• Bridgewell Homecare Services LLC
• Ninakeline Briggs

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.