Individual provider Active NPI

Bianca Rae Pope, FNP

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1124465588
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203157 Issued in GA
Practice address
3212 Shrine Rd
Brunswick, GA 31520-4353
Phone
(912) 289-7004
Fax
(912) 289-7004
NPI assigned
May 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X RN203157 GA
Family Nurse Practitioner 363LF0000X RN203157 GA Primary

Addresses

Primary practice location

3212 Shrine Rd
Brunswick, GA 31520-4353

Mailing address

3212 Shrine Rd
Brunswick, GA 31520-4353
Phone (912) 289-7004

Other names 1

  • Bianca Rae Germano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140204001164 GA Practitioner - Nurse Practitioner 6406085950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden Isles Family Health Care, LLCGroup PAC ID 5991127060, 4 clinicians

Practice addresses (Care Compare)

3212 Shrine Rd
Brunswick, GA 31520-4353
Phone (912) 289-7004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN203157GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Isles Family Healthcare, LLC Single Specialty CurrentSince May 21, 2020 Accepting new patients

Locations

3212 Shrine Rd
Brunswick, GA 31520
Phone (912) 265-6344

3010 Altama Ave
Brunswick, GA 31520
Phone (912) 266-8140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1124465588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "912-289-7004",
            "fax_number": "912-289-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "912-289-7004",
            "fax_number": "912-289-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "BIANCA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-25",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN203157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "GERMANO",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.