Individual provider Active NPI

Brittany Bulger, NP

  • Family Nurse Practitioner
  • Peachtree City, GA
National Provider Identifier
1285216879
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN330945 Issued in GA
Practice address
210 Clover Reach
Peachtree City, GA 30269-1657
Phone
(770) 487-9604
Fax
(770) 631-0540
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN330945 GA Primary
Registered Nurse 163W00000X 4704372224 MI

Addresses

Primary practice location

210 Clover Reach
Peachtree City, GA 30269-1657

Mailing address

775 Poplar Rd Ste 360
Newnan, GA 30265-8304
Phone (770) 487-9604

Other practice location 1

775 Poplar Rd Ste 360
Newnan, GA 30265-8304
Phone (770) 487-9604

Other names 1

  • Brittany Sanders Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230119001569 GA Practitioner - Nurse Practitioner 6204207764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704372224MIMDRegistered Nurse
RN330945GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Peachtree City Obstetrics and Gynecology, P.C. Single Specialty PastSince Feb 2, 2025 Accepting new patients
Peachtree City Obstetrics and Gynecology, P.C. Single Specialty PastSince Feb 2, 2025 Accepting new patients

Locations

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

3240 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 433-3420

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: brittany.sanders@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1285216879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD STE 360",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658304",
            "telephone_number": "770-487-9604",
            "fax_number": "678-673-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLOVER REACH",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691657",
            "telephone_number": "770-487-9604",
            "fax_number": "770-631-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Poplar Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658304",
            "country_code": "US",
            "telephone_number": "770-487-9604",
            "fax_number": "678-673-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULGER",
        "first_name": "BRITTANY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN330945",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704372224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SANDERS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.