Individual provider Active NPI

Breanne Dice Hunley, D.O.

  • Family Medicine Physician
  • Ringgold, GA
National Provider Identifier
1326475336
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101632 Issued in GA
Practice address
4700 Battlefield Pkwy Ste 200
Ringgold, GA 30736-5168
Phone
(706) 861-4990
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101632 GA Primary

Addresses

Primary practice location

4700 Battlefield Pkwy Ste 200
Ringgold, GA 30736-5168

Mailing address

4700 Battlefield Pkwy Ste 200
Ringgold, GA 30736-5168
Phone (706) 861-4990

Other names 1

  • Breanne Dice Miller Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217003749 GA Practitioner - Family Practice 9234531120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

4700 Battlefield Pkwy
Suite 200
Ringgold, GA 30736-5168
Phone (706) 861-4990

Hospital & facility affiliations

  • North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
101632GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine Current Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

4700 Battlefield Pkwy
Ste 200
Ringgold, GA 30736
Phone (706) 861-4990

Interoperability endpoints

  • Direct secure messaging: breannehunley@tnmhpf.allscriptsdirect.net

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.

Hospital & facility affiliations 4

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1326475336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BATTLEFIELD PKWY STE 200",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365168",
            "telephone_number": "706-861-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BATTLEFIELD PKWY STE 200",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365168",
            "telephone_number": "706-861-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNLEY",
        "first_name": "BREANNE",
        "middle_name": "DICE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "101632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "MILLER",
            "middle_name": "DICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.