Christine Williams Breeden, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206681 Issued in GA

Practice address

4837 Bill Gardner Pkwy Ste B
Locust Grove, GA 30248-3734

Phone

(678) 800-1602

Fax

(770) 627-0108

NPI assigned

Aug 28, 2016

Last updated

Feb 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1194271320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 BILL GARDNER PKWY STE B",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483734",
            "telephone_number": "678-800-1602",
            "fax_number": "770-627-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 BILL GARDNER PKWY STE B",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483734",
            "telephone_number": "678-800-1602",
            "fax_number": "770-627-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "CHRISTINE",
        "middle_name": "WILLIAMS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "206681",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "206681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Anchor Therapy LLC
• Blue Cross EMS LLC
• Brittany Ariana Borzillo, PSYD
• Bridging the Process Counseling & Consulting Services
• Brown Signature Transportation and More LLC
• Carla Meshannon Brown, RN
• Cierra Nicole Davis Brown, LPC
• Amy Bartley Burghardt, PHARMD

• Family Nurse Practitioner in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.