Individual provider Active NPI

Brandi Leann Hipps, NP-C

  • Family Nurse Practitioner
  • Fitzgerald, GA
National Provider Identifier
1124602404
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP207434 Issued in GA
Practice address
299 Benjamin HL Ste a
Fitzgerald, GA 31750-8696
Phone
(229) 423-5437
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP207434 GA Primary

Addresses

Primary practice location

299 Benjamin HL Ste a
Fitzgerald, GA 31750-8696

Mailing address

3805 Goff St
Tifton, GA 31794-1641
Phone (706) 975-1020

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
I20220221000014 GA Practitioner - Nurse Practitioner 2163816034 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP207434GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Primary Care Center, Inc CurrentSince Nov 5, 2025 Accepting new patients
South Central Primary Care Center, Inc CurrentSince Nov 5, 2025 Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients

Locations

15 S Railroad St
Lenox, GA 31637
Phone (229) 546-4206

201 N Bartow St
Nashville, GA 31639
Phone (229) 686-2774

607 N Irwin Ave
#C
Ocilla, GA 31774
Phone (229) 468-5020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1124602404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 GOFF ST",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941641",
            "telephone_number": "706-975-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 BENJAMIN HL STE A",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508696",
            "telephone_number": "229-423-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPS",
        "first_name": "BRANDI",
        "middle_name": "LEANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP207434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitzgerald, GA

Sources for this page

Verify at the official NPI Registry.