NPIMap

Organization Active NPI

Brighter Brains, LLC

  • Multi-Specialty Clinic/Center
  • Statesboro, GA
National Provider Identifier
1356860944
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
9526 Issued in GA
Legal business name
BRIGHTER BRAINS, LLC
Practice address
124 Savannah Ave Ste 1C
Statesboro, GA 30458-7149
Phone
(912) 225-3760
Fax
(912) 225-3770
NPI assigned
Sep 14, 2017
Organization subpart
Yes
Parent organization
BRIGHTER BRAINS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Joy Welcker, PHDNPI 1912286089
Title
Ceo, Clinical Director
Phone
(912) 481-2652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 9526 GA Primary

Addresses

Primary practice location

124 Savannah Ave Ste 1C
Statesboro, GA 30458-7149

Mailing address

PO Box 2872
Statesboro, GA 30459-2872
Phone (912) 481-2652

Other names 1

  • JLF Services, Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1356860944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2872",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592872",
            "telephone_number": "912-481-2652",
            "fax_number": "912-225-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAVANNAH AVE STE 1C",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587149",
            "telephone_number": "912-225-3760",
            "fax_number": "912-225-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER BRAINS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTER BRAINS, LLC",
        "enumeration_date": "2017-09-14",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "WELCKER",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "912-481-2652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JLF Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.