Active NPI
George Alexander Bragg
- Pharmacist
- Fairview, TN
National Provider Identifier
1215547799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44294
- Practice address
- 7014 City Center Way
Fairview, TN 37062-6004 - Phone
- (615) 799-3479
- NPI assigned
- Aug 9, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44294 | TN | Primary |
Addresses
Primary practice location
7014 City Center Way
Fairview, TN 37062-6004
Mailing address
7014 City Center Way
Fairview, TN 37062-6004
Phone (615) 799-3479
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EnterpriseRX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44294 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Tennessee, LLC | Past | Accepting new patients | |
| Publix Tennessee LLC | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Fairview, TN
- NPI 1255638573
-
- Community/Retail Pharmacy
- Farragut, TN
- NPI 1639042229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1215547799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7014 CITY CENTER WAY",
"city": "FAIRVIEW",
"state": "TN",
"postal_code": "370626004",
"telephone_number": "615-799-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7014 CITY CENTER WAY",
"city": "FAIRVIEW",
"state": "TN",
"postal_code": "370626004",
"telephone_number": "615-799-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGG",
"first_name": "GEORGE",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-09",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EnterpriseRX",
"affiliation": "N",
"address_1": "7014 City Center Way",
"city": "Fairview",
"state": "TN",
"country_code": "US",
"postal_code": "370626004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairview, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.