Organization Active NPI

Bridge Health & Wellness

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1376485862
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BRIDGE HEALTH & WELLNESS
Practice address
1800 Phoenix Blvd
Suits 128-24
Atlanta, GA 30349-5593
Phone
(401) 684-1267
Fax
(470) 275-0632
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Jade BrownNPI 1215727920
Title
Owner, FNP
Phone
(401) 684-1267

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1800 Phoenix Blvd
Suits 128-24
Atlanta, GA 30349-5593

Mailing address

1800 Phoenix Blvd
Suits 128-24
Atlanta, GA 30349-5593
Phone (401) 684-1267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260429002883 GA Part B Supplier - Clinic/Group Practice 2668949454 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

1800 Phoenix Blvd
#12824
Atlanta, GA 30349
Phone (401) 684-1267

Practitioners & affiliated clinicians

Practitioners 1

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": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1376485862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PHOENIX BLVD",
            "address_2": "SUITS 128-24",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495593",
            "telephone_number": "401-684-1267",
            "fax_number": "470-275-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PHOENIX BLVD",
            "address_2": "SUITS 128-24",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495593",
            "telephone_number": "401-684-1267",
            "fax_number": "470-275-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "OWNER, FNP",
        "authorized_official_telephone_number": "401-684-1267"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 7, 2026; 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.