Organization Active NPI

Build and Restore, LLC

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1225616618
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BUILD AND RESTORE, LLC
Practice address
2211 Bartow St
Brunswick, GA 31520-5604
Phone
(850) 210-2473
NPI assigned
Mar 29, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Gwendolyn Flonnery-Roberts, MSN, APRN, FNP-CNPI 1487057758
Title
Owner/Nurse Practitioner
Phone
(912) 209-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2237236Build and Restore, LLC2211 Bartow Street, Brunswick, GA 31520Certificate of waiverSep 22, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210513000381 GA Part B Supplier - Clinic/Group Practice 8426467986 Receives reassigned benefits from 1 practitioner
Practice locations: Brunswick, GA

National Provider Directory

National Provider Directory

Locations

1610 Reynolds St
Brunswick, GA 31520
Phone (404) 797-5586

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2211 Bartow St
Brunswick, GA 31520-5604

Mailing address

2211 Bartow St
Brunswick, GA 31520-5604
Phone (912) 254-7672

Other names 1

NPPES NPI Registry
  • BAR Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2025.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1225616618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 BARTOW ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205604",
            "telephone_number": "912-254-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 BARTOW ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205604",
            "telephone_number": "850-210-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILD AND RESTORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "FLONNERY-ROBERTS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "912-209-5444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAR Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.