Ashlie Lynn Brackin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN194942 Issued in GA

Practice address

103 W Pine St
Colquitt, GA 39837-3526

Phone

(229) 758-3002

Fax

(229) 758-9415

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Colquitt Complete Care LLC

  • Family Medicine Physician
  • Colquitt, GA
  • NPI 1265602940

  GA

  Medicare reassignment NPD
• Southland Behavioral Health Services LLC

  • Hospitalist Physician
  • Valdosta, GA
  • NPI 1619505765

  AL

  Medicare reassignment NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040

  AL

  Medicare reassignment NPD
• Flowers HB Medical Services LLC

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1972283828

  AL

  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1215548490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373419",
            "telephone_number": "229-758-3002",
            "fax_number": "229-758-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PINE ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373526",
            "telephone_number": "229-758-3002",
            "fax_number": "229-758-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKIN",
        "first_name": "ASHLIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN194942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Odom Battles
• Emily Paige Bearden, REGISTERED DIETITIAN
• Garrett N Bennett, MD
• Mary Benton
• Board of Commissioners Miller County
• Lanie Ann Bradford
• Brand Professional Services Inc
• David Lamar Brand Jr., M.D.
• Shabreka Wil'Nesha Butler
• Chapman Family Dentistry LLC

• All providers in Colquitt, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.