Individual provider Active NPI

Brittany Lynn Draeger

  • Family Nurse Practitioner
  • Morrow, GA
National Provider Identifier
1295490902
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055996 Issued in TX
Practice address
2000 Clayton State Blvd
Morrow, GA 30260-1250
Phone
(678) 466-4000
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1055996 TX Primary

Addresses

Primary practice location

2000 Clayton State Blvd
Morrow, GA 30260-1250

Mailing address

622 Isom Rd
San Antonio, TX 78216-4464
Phone (210) 622-8000

Other names 1

  • Brittany Lynn Ballew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909002106 TX Practitioner - Nurse Practitioner 0244615367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055996TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1295490902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 ISOM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164464",
            "telephone_number": "210-622-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLAYTON STATE BLVD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601250",
            "telephone_number": "678-466-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BALLEW",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.