Individual provider Active NPI

Wendy Marie Brady

  • Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1427567304
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN199372 Issued in GA
Practice address
604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Phone
(912) 910-3777
Fax
(912) 292-0005
NPI assigned
Sep 24, 2017
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN199372 GA Primary
Family Nurse Practitioner 363LF0000X RN199372 GA
Family Medicine Physician 207Q00000X RN199372 GA
Pain Medicine Physician 208VP0000X RN199372 GA

Addresses

Primary practice location

604 W Oglethorpe Hwy
Hinesville, GA 31313-4415

Mailing address

604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Phone (912) 910-3777

Other practice location 1

8880 Abercorn St
Savannah, GA 31406-4508
Phone (912) 231-4444

Other practice location 2

1907 Sunset Blvd
Jesup, GA 31545-7813
Phone (912) 910-3777

Other practice location 3

3760 US Highway 17
Richmond Hill, GA 31324-3378
Phone (912) 910-3777

Other practice location 4

303 S Main St
Swainsboro, GA 30401-3613
Phone (912) 910-3777

Other practice location 5

303 Harris Industrial Blvd Ste 2
Vidalia, GA 30474-8854
Phone (921) 537-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314002793 GA Practitioner - Nurse Practitioner 5294075966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Phone (912) 910-3777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.67 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN199372GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of Georgia LLC Pain Medicine CurrentSince Sep 2, 2023 Accepting new patients
Consultants in Pain Medicine, LLC Pain Medicine Past Accepting new patients

Locations

1907 Sunset Blvd
Jesup, GA 31545
Phone (912) 530-7516

3760 US Highway 17
Unit 11
Richmond Hill, GA 31324
Phone (912) 910-2770

6606 Abercorn St
Ste 101
Savannah, GA 31405
Phone (786) 488-9030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1506211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1427567304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134415",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134415",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8880 Abercorn St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064508",
            "country_code": "US",
            "telephone_number": "912-231-4444",
            "fax_number": "912-231-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315457813",
            "country_code": "US",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 US Highway 17",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243378",
            "country_code": "US",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S Main St",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013613",
            "country_code": "US",
            "telephone_number": "912-910-3777",
            "fax_number": "912-292-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Harris Industrial Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748854",
            "country_code": "US",
            "telephone_number": "921-537-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN199372",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN199372",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "RN199372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.