Individual provider Active NPI

Stacy-Lee Meleisia Buchanan-Bromley

  • Nurse Practitioner
  • Perry, GA
National Provider Identifier
1285596866
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
287824 Issued in GA
Practice address
113 W River Cane Run
Perry, GA 31069-9470
Phone
(470) 439-1396
NPI assigned
Dec 2, 2025
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 287824 GA Primary
Family Nurse Practitioner 363LF0000X 287824 GA

Addresses

Primary practice location

113 W River Cane Run
Perry, GA 31069-9470

Mailing address

113 W River Cane Run
Perry, GA 31069-9470

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
I20251216003121 GA Practitioner - Nurse Practitioner 1456846542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

2989 Happy Valley Rd
Rossville, GA 30741-6005
Phone (706) 916-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
287824GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Feb 24, 2026 Accepting new patients
Health Providers of America, LLC CurrentSince Nov 1, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 24, 2026 Accepting new patients

Locations

910 N 5th St
Ste C
Cordele, GA 31015
Phone (229) 805-9770

2989 Happy Valley Rd
Rossville, GA 30741
Phone (706) 916-2777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1285596866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W RIVER CANE RUN",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W RIVER CANE RUN",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699470",
            "telephone_number": "470-439-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN-BROMLEY",
        "first_name": "STACY-LEE",
        "middle_name": "MELEISIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "287824",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "287824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.