Nikki R. Brannon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24684 Issued in AL

Practice address

2205 Beltline Rd SW
Decatur, AL 35601-3617

Phone

(256) 306-4002

Fax

(256) 306-4067

NPI assigned

Oct 3, 2006

Last updated

Jul 17, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  dba Santee-Wateree Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sumter, SC
  • NPI 1245279595
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1245324011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-519-8104",
            "fax_number": "256-519-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013617",
            "telephone_number": "256-306-4002",
            "fax_number": "256-306-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "NIKKI",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "24684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009993960",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051523974",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Kathryn Bracken, DPT, PT
• Mary Patricia Brandenburg, CRNP
• Samuel Cole Brandon, PA-C
• Rebecca Brann, M.ED
• Stephen Alan Branning, M.D.
• Teri Brannon
• Nicholas Tilford Braswell IV, M.D.
• Ashley Brenner
• Michelle Brewer, FNP-BC
• Brian R James MD PC

• Psychiatry Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.