Ciandra Regine Calhoun Branch, PA

Key facts

NPI

1295566537

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

12509 (GA)

Practice address

5127 Jimmy Carter Blvd
Norcross, GA 30093-1619

Phone

(404) 564-7007

Fax

(404) 481-4520

NPI assigned

Aug 9, 2024

Sex

Female

Sole proprietor

Yes

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.

• Palmetto Health Council Inc Federally Qualified Health Center (FQHC) · Palmetto, GA · NPI 1184884678
  Medicare reassignment NPD GA
• Murray Emergency Physicians, LLC Emergency Medicine Physician · Chatsworth, GA · NPI 1043783970
  Medicare reassignment GA
• Health Education, Assessment and Leadership, Inc Federally Qualified Health Center (FQHC) · Atlanta, GA · NPI 1831476399
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2026.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1295566537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931619",
            "telephone_number": "404-564-7007",
            "fax_number": "404-481-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931619",
            "telephone_number": "404-564-7007",
            "fax_number": "404-481-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "CIANDRA",
        "middle_name": "REGINE CALHOUN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Norcross, GA · Physician Assistant in Georgia