Brenda Joyce Poythress, NP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN210827 Issued in GA

Practice address

391 S 1St St
Jesup, GA 31545-1132

Phone

(912) 427-8433

Fax

(912) 427-9851

NPI assigned

Aug 27, 2019

Last updated

May 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brunswick Medical LLCGroup PAC ID 8022455724, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brunswick Medical LLC

  • Primary Care Clinic/Center
  • Brunswick, GA
  • NPI 1639959299

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Internal Medicine of Southeast Georgia

  • Internal Medicine Physician
  • Jesup, GA
  • NPI 1154543106

  Multi-Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1225686975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451132",
            "telephone_number": "912-427-8433",
            "fax_number": "912-427-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451132",
            "telephone_number": "912-427-8433",
            "fax_number": "912-427-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYTHRESS",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "RN210827",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN210827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pineda, OT
• Delaney Kay Pirkle, RPH
• Taylor Jordan Polander, MD
• Alyson Leigh Pond, LCSW
• Mia Popkin, MHS, OTR/L
• Kali Sarah Price
• Providence Place LLC (Cotton Grove Estate)
• Robert Allen Pumpelly IV, MD
• Breanna Pye
• Justin Garrett Pye, PT

• Family Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.
• 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.