Individual provider Active NPI

Brandi Jo Higgins, APRN, FNP-C, FNP-BC

  • Nurse Practitioner
  • Jesup, GA
National Provider Identifier
1205528940
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN223677 Issued in GA
Practice address
351 Peachtree St
Jesup, GA 31545-0245
Phone
(912) 530-6582
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN223677 GA
Nurse Practitioner 363L00000X RN223677 GA Primary

Addresses

Primary practice location

351 Peachtree St
Jesup, GA 31545-0245

Mailing address

121 Grace Baptist Church Rd NE
Ludowici, GA 31316
Phone (912) 403-9799

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
I20240626002788 GA Practitioner - Nurse Practitioner 8820532211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine of Southeast GeorgiaGroup PAC ID 2264532019, 4 clinicians

Practice addresses (Care Compare)

351 Peachtree St
Jesup, GA 31545-0245
Phone (912) 530-6582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Southeast Georgia CurrentSince Jul 8, 2024 Accepting new patients
Georgia Palliative Care Inc. PastSince May 1, 2023 Accepting new patients

Locations

351 Peachtree St
Jesup, GA 31545
Phone (912) 530-6582

228 Memorial Dr
Jesup, GA 31545
Phone (912) 530-6582

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDDBDA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1205528940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRACE BAPTIST CHURCH RD NE",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "31316",
            "telephone_number": "912-403-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-530-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "BRANDI",
        "middle_name": "JO",
        "credential": "APRN, FNP-C,  FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223677",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN223677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.