Individual provider Active NPI

Brandi Alsup, FN-P

  • Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1164317467
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP248764 Issued in GA
Practice address
110 Rushing LN Ste B
Statesboro, GA 30458-6027
NPI assigned
Jun 9, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP248764 GA Primary

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

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
I20250814002006 GA Practitioner - Nurse Practitioner 3072012434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Rheumatology AllianceGroup PAC ID 2466891353, 24 clinicians

Practice addresses (Care Compare)

110 Rushing LN
Suite B
Statesboro, GA 30458-6027
Phone (912) 349-4227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP248764GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Rheumatology Alliance CurrentSince Jun 30, 2025 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

  • Direct secure messaging: brandi.alsup.p1@direct.coastalrheumatology.nextgenshare.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1164317467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RUSHING LN STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046234",
            "country_code": "US",
            "telephone_number": "912-349-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSUP",
        "first_name": "BRANDI",
        "credential": "FN-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP248764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.