Cameron Mikell Brannen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014193 Issued in GA

Practice address

35 Depot St
Hartwell, GA 30643

Phone

(706) 842-2095

Fax

(706) 842-2515

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257

  GA

  Medicare reassignment NPD
• Physiotherapy Associates, Inc

  • Physical Therapy Clinic/Center
  • Cartersville, GA
  • NPI 1114344819

  Physical Therapist

  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Independent Physical Therapy, LLC

  • Physical Therapist
  • Stone Mountain, GA
  • NPI 1447654058
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1366095812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DEPOT ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-842-2095",
            "fax_number": "706-842-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3342 Trickum Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883679",
            "country_code": "US",
            "telephone_number": "678-501-5772",
            "fax_number": "678-401-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6884 Hickory Flat Hwy",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883229",
            "country_code": "US",
            "telephone_number": "770-704-8244",
            "fax_number": "770-704-8264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 W Spring St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306553901",
            "country_code": "US",
            "telephone_number": "678-712-3686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Rockbridge Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Stone Mtn",
            "state": "GA",
            "postal_code": "300873006",
            "country_code": "US",
            "telephone_number": "770-925-9210",
            "fax_number": "770-925-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "CAMERON",
        "middle_name": "MIKELL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam J Brown, D.M.D.
• Madison Brown, BCBA
• Bulfinch Dialysis LLC
• Cheryl Renee Burke
• Mary Christine Caldwell, RN

• All providers in Hartwell, GA
• Physical Therapist in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.