Individual provider Active NPI

Dana Parrish Branchetti, AGACNP-BC

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1306496955
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN077352 Issued in GA
Practice address
308 Coliseum Dr Ste 120
Macon, GA 31217-3859
Phone
(478) 745-6130
Fax
(478) 745-4443
NPI assigned
Sep 16, 2019
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 RN077352 GA Primary
Acute Care Nurse Practitioner 363LA2100X RN077352 GA

Addresses

Primary practice location

308 Coliseum Dr Ste 120
Macon, GA 31217-3859

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (478) 745-6130

Other identifiers 2

IdentifierTypeStateIssuer
G15962AOtherGAMEDICARE PTAN
003225173BMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dana.branchettiagacnpbc.p1@direct.gacancer.nextgenshare.com Direct
Direct Messaging Address dana.branchettiagacnpbc.p1@direct.gacancer.nextgenshare.com Direct

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
I20191113002259 GA Practitioner - Nurse Practitioner 9739511767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

308 Coliseum Dr
Suite 120
Macon, GA 31217-3859
Phone (478) 745-6130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Oct 28, 2019 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Current Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Oct 28, 2019 Accepting new patients

Locations

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

308 Coliseum Dr
Ste 120
Macon, GA 31217
Phone (478) 745-6130

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1306496955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "478-745-6130",
            "fax_number": "478-745-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR STE 120",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173859",
            "telephone_number": "478-745-6130",
            "fax_number": "478-745-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCHETTI",
        "first_name": "DANA",
        "middle_name": "PARRISH",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN077352",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN077352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G15962A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003225173B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.branchettiagacnpbc.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "308 Coliseum Dr Ste 120",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312173859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.branchettiagacnpbc.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "308 Coliseum Dr Ste 120",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312173859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.