Brandy Nichole Mabee, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004733 Issued in GA

Practice address

McEver Rd
Gainesville, GA 30501

Phone

(678) 780-6353

NPI assigned

Mar 21, 2011

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1306145065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 OAKLAND DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011646",
            "telephone_number": "240-727-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCEVER RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "678-780-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABEE",
        "first_name": "BRANDY",
        "middle_name": "NICHOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-07-18",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3291",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig R. Lyles, M.D.
• Edwin Lynch, M.D.
• Rebecca Jane Lyons, IBCLC
• M & B Imaging, PC
• M&M Speech and Feeding Services, LLC.
• Eric Akonwi Mabo, MD
• Yvonne Decort Macdonald, NNP-BC
• Mikayla Mace, AA
• Nikita Neha Machado, M.D
• Wendy Machado, LCSW

• Physical Therapy Assistant in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.