Active NPI
Build and Restore, LLC
- Family Nurse Practitioner
- Brunswick, GA
National Provider Identifier
1225616618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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-C
- 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.
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1487057758
GA
-
- Clinical Social Worker
- Brunswick, GA
- NPI 1316273386
-
- Clinical Social Worker
- Brunswick, GA
- NPI 1093166126
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2237236 | Build and Restore, LLC | Certificate of waiver | Sep 22, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210513000381 | GA | Part B Supplier - Clinic/Group Practice | 8426467986 |
Receives reassigned benefits from 1 practitioner Practice locations: Brunswick, GA |
National Provider Directory
National Provider DirectoryLocations
1610 Reynolds St
Brunswick, GA 31520
Phone (404) 797-5586
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.