Active NPI
Golden Isles Family Healthcare, LLC
- Primary Care Nurse Practitioner
- Brunswick, GA
National Provider Identifier
1346874005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- GOLDEN ISLES FAMILY HEALTHCARE, LLC
- Practice address
- 3212 Shrine Rd
Brunswick, GA 31520-4353 - Phone
- (912) 289-7004
- Fax
- (912) 289-7004
- NPI assigned
- Mar 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kay Stokes
- Title
- Auth Official
- Phone
- (912) 289-7004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
3212 Shrine Rd
Brunswick, GA 31520-4353
Mailing address
3212 Shrine Rd
Brunswick, GA 31520-4353
Phone (912) 289-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2180084 | Golden Isles Family Healthcare, LLC | Certificate of waiver | Mar 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
3010 Altama Ave
Brunswick, GA 31520
Phone (912) 266-8140
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1760287924
-
- Nurse Practitioner
- Kings Bay, GA
- NPI 1548846793
-
- Pharmacist
- Brunswick, GA
- NPI 1346918778
-
- Pharmacist
- Brunswick, GA
- NPI 1760899538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1346874005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 SHRINE RD",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204353",
"telephone_number": "912-289-7004",
"fax_number": "912-289-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 SHRINE RD",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204353",
"telephone_number": "912-289-7004",
"fax_number": "912-289-7004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ISLES FAMILY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-02",
"last_updated": "2023-01-03",
"certification_date": "2022-12-19",
"status": "A",
"authorized_official_last_name": "STOKES",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "AUTH OFFICIAL",
"authorized_official_telephone_number": "912-289-7004"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
- Golden Isles Center for Exceptional Dentistry, P.C.
- Golden Isles Center for General and Bariatric Surgery
- Golden Isles Colon & Rectal Clinic PC
- Golden Isles Dental Associates, LLC
- Golden Isles Dentistry
- Golden Isles Foot Surgery Center
- Golden Isles Neurology, PC
- Golden Isles Oral Surgery, L.L.C.
- Golden Isles Pain-MD, LLC
- Golden Isles Palliative Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.