Brenda Dawne Telford, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

050740 Issued in GA

Practice address

770 Village Square Dr
Stone Mountain, GA 30083-3380

Phone

(404) 298-8998

Fax

(404) 298-7658

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD

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.

• Premier Family Healthcare, P.C.

  • Primary Care Clinic/Center
  • Tucker, GA
  • NPI 1144467945
  NPD Authorized official
• Pacific Medical LLC

  • Emergency Care Clinic/Center
  • Dunwoody, GA
  • NPI 1417011099
  NPD (past)
• SMG-Occupational Health Clinic

  • Primary Care Clinic/Center
  • Reidsville, GA
  • NPI 1710678925
  NPD (past)
• Amsterdam Memorial Hospital

  • Skilled Nursing Facility
  • Amsterdam, NY
  • NPI 1578624599
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1255446647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833380",
            "telephone_number": "404-298-8998",
            "fax_number": "404-298-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833380",
            "telephone_number": "404-298-8998",
            "fax_number": "404-298-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFORD",
        "first_name": "BRENDA",
        "middle_name": "DAWNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "186725",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Lee Taylor
• Delisha Brantley Taylor, NP
• Kendra Michelle Taylor, LPN
• Rose M Taylor, MD
• Shantiya Latoya Nachell Teel, NURSE PRACTITONER
• Ten 2 Speech & Language Therapy, LLC
• Marshet Tenaw
• Tender Care Services, LLC
• Tender Touch Health Care Services
• Stanley M Tenenbaum, MD

• Family Medicine Physician in Stone Mountain, GA
• Providers in Stone Mountain, 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 Feb 16, 2012; 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.