Active NPI
Brian L Haverdink, NP
- Cardiovascular Disease Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- RN330264
- Practice address
- 2258 Wrightsboro Rd Ste 400
Augusta, GA 30904-4788 - Phone
- (706) 724-4400
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN330264 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | RN330264 | GA | Primary |
Addresses
Primary practice location
2258 Wrightsboro Rd Ste 400
Augusta, GA 30904-4788
Mailing address
742 William Ave
Appling, GA 30802-1819
Other practice location 1
1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 550-4750
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2258 Wrightsboro Rd
Suite 400
Augusta, GA 30904-4788
Phone (706) 724-4400
Hospital & facility affiliations
- Piedmont Augusta Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1919 | CA | MD | Maternal Newborn Registered Nurse |
| RN330264 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
2258 Wrightsboro Rd
Ste 400
Augusta, GA 30904
Phone (706) 724-4400
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
Interoperability endpoints
- bhaverdink31465@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1487600896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 WILLIAM AVE",
"city": "APPLING",
"state": "GA",
"postal_code": "308021819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 WRIGHTSBORO RD STE 400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044788",
"telephone_number": "706-724-4400"
}
],
"practiceLocations": [
{
"address_1": "1409 E Briggsmore Ave",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953552707",
"country_code": "US",
"telephone_number": "209-550-4750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVERDINK",
"first_name": "BRIAN",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN330264",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "RN330264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.