Active NPI
Windy Michelle Brannon, PT,MS
- Specialist
- Atlanta, GA
National Provider Identifier
1336180892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT006876
- Practice address
- 1985 Howell Mill Rd NW
Ste. B
Atlanta, GA 30318-2566 - Phone
- (404) 355-1322
- Fax
- (404) 355-5404
- NPI assigned
- Jun 8, 2006
- Last updated
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT006876 | GA | Primary |
Addresses
Primary practice location
1985 Howell Mill Rd NW
Ste. B
Atlanta, GA 30318-2566
Mailing address
3889 Cobb Pkwy NW
Acworth, GA 30101-4084
Phone (770) 975-1299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT006876 | Other | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Medical Centers, LLC. | Specialist | Past | Accepting new patients |
| Synergy Pain and Rehabilitation | Specialist | Past | Accepting new patients |
| Synergy Medical Centers of Atlanta | Specialist | Past | Accepting new patients |
| Atlanta Medical Clinic L L C | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1891018016
-
- Specialist
- Atlanta, GA
- NPI 1487833612
-
- Specialist
- Acworth, GA
- NPI 1093767923
-
- Specialist
- Atlanta, GA
- NPI 1376580167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1336180892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3889 COBB PKWY NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014084",
"telephone_number": "770-975-1299",
"fax_number": "770-975-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 HOWELL MILL RD NW",
"address_2": "STE. B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182566",
"telephone_number": "404-355-1322",
"fax_number": "404-355-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "WINDY",
"middle_name": "MICHELLE",
"credential": "PT,MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "PT006876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PT006876",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.