Individual provider Active NPI

Brett Magner, M.D.

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1356736417
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83071 Issued in GA
Practice address
855 W Broad St Ste 1
Athens, GA 30601
Phone
(706) 850-6134
NPI assigned
Apr 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD182193 OR
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 83071 GA Primary

Addresses

Primary practice location

855 W Broad St Ste 1
Athens, GA 30601

Mailing address

855 W Broad St Ste 1
Athens, GA 30601-2511

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-8211

Other practice location 2

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, GA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180725002944 OR Practitioner - Family Practice 9032418058 Reassigns benefits to 1 organization
I20190809002813 GA Practitioner - Family Practice 9032418058
I20240906001519 NC Practitioner - Family Practice 9032418058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

150 Park Ave
Banner Elk, NC 28604-6604
Phone (828) 898-5177

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD182193ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Family Medicine CurrentSince Aug 12, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jul 2, 2018 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jul 2, 2018 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2801 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-4510

Interoperability endpoints

  • Direct secure messaging: bmagner1197405@direct.unc.nchie.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 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": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1356736417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W BROAD ST STE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W BROAD ST STE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "706-850-6134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNER",
        "first_name": "BRETT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-05",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD182193",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.