Active NPI
Brandon Nicholas Rowland, PA-C
- Physician Assistant
- Dublin, GA
National Provider Identifier
1184946279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5746
- Practice address
- 200 Fairview Park Drive
Dublin, GA 31021 - Phone
- (478) 272-6150
- Fax
- (478) 272-4903
- NPI assigned
- Feb 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5746 | GA | Primary |
Addresses
Primary practice location
200 Fairview Park Drive
Dublin, GA 31021
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1157 Forsyth St
Macon, GA 31201-7452
Phone (478) 745-8581
1161 Saralyn LN a
Statesboro, GA 30461-7993
Phone (912) 489-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5746 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Georgia Urology Associates,LLC | Current | Accepting new patients | |
| A. Deo Klein, M.D., P.C. | Past | Accepting new patients | |
| Georgia Dermatology &Skin Cancer Center, PC | Past | Accepting new patients | |
| Summit Dermatology & Laser Center, P.C. | Past | Accepting new patients |
Locations
200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150
Organizations & group practices 5
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.
-
- Dermatology Physician
- Dublin, GA
- NPI 1063460459
-
dba Middle Georgia Urology Associates
- Urology Physician
- Dublin, GA
- NPI 1043338502
-
- Specialist
- Statesboro, GA
- NPI 1215149497
-
- Dermatology Physician
- Macon, GA
- NPI 1447363346
-
- Dermatology Physician
- Brunswick, GA
- NPI 1508920992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1184946279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304750407",
"telephone_number": "912-537-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FAIRVIEW PARK DRIVE",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-6150",
"fax_number": "478-272-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLAND",
"first_name": "BRANDON",
"middle_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-17",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "5746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.