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Braco Medical Services LLC

Organization Active NPI Physician Assistant · Waycross, GA

NPI 1124823570 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1124823570
Entity type
Organization (NPI type 2)
Primary specialty
Physician Assistant 363A00000X
Legal business name
BRACO MEDICAL SERVICES LLC
Practice address
700 Riverside Ave
Waycross, GA 31501-5358
Phone
(912) 490-8546
Fax
(877) 221-0052
NPI assigned
Feb 18, 2025
Organization subpart
No

Authorized official

Name
Amanda Smith, PA-C
Title
PA-C, Owner
Phone
(912) 490-8546

Practitioners 1

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

  • Amanda S Smith, PA Medical Physician Assistant · Waycross, GA · NPI 1316043227
    NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2262887Vitality Health & Wellness
700 Riverside Avenue, Waycross, GA 31501		Certificate of waiverJun 20, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X Yes

Addresses

Primary practice location

700 Riverside Ave
Waycross, GA 31501-5358

Mailing address

700 Riverside Ave
Waycross, GA 31501-5358

Other names

  • Vitality Health and Wellness Doing business as

Other providers in Waycross, GA

All providers in Waycross, GA · Physician Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.