Brandi Alsup, FN-P
Individual provider Active NPI Nurse Practitioner · Statesboro, GA
NPI 1164317467 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1164317467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN-NP248764 (GA)
- Practice address
- 110 Rushing LN Ste B
Statesboro, GA 30458-6027 - NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Rheumatology Alliance
Practice addresses (Care Compare)
110 Rushing LN
Suite B
Statesboro, GA 30458-6027
Phone (912) 349-4227
Hospital & facility affiliations
- East Georgia Regional Medical Center
- Evans Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814002006 | GA | Practitioner - Nurse Practitioner | 3072012434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP248764 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Rheumatology Alliance | Current |
Accepting new patients | |
| Southeastern Rheumatology Alliance | Past | Accepting new patients |
Locations
700 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-4084
5400 Waters Ave
Savannah, GA 31404
Phone (912) 349-4227
110 Rushing Ln
#B
Statesboro, GA 30458
Phone (912) 210-0276
Interoperability endpoints
- brandi.alsup.p1@direct.coastalrheumatology.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP248764 | GA | Yes |
Addresses
Primary practice location
110 Rushing LN Ste B
Statesboro, GA 30458-6027
Mailing address
5400 Waters Ave
Savannah, GA 31404-6234
Other practice location 1
5400 Waters Ave
Savannah, GA 31404-6234
Phone (912) 349-4227
Other providers in Statesboro, GA
- Stephanie Hope Aldred
- Ashley Allenstein
- Alpha Imaging, Inc.
- Ariel Avana Alston
- Kendyle Alston
- Altrus LLC
- Altrus LLC
- Lacy Alvarez
- American Oncology Partners, P.a.
- Tarek Amoun
All providers in Statesboro, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.