Brandyn J McComb

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN316531 Issued in GA

Practice address

3027 Bannack LN
Harlem, GA 30814-5148

Phone

(517) 582-1000

NPI assigned

Nov 1, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1497528384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 BANNACK LN",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308145148",
            "telephone_number": "517-582-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 BANNACK LN",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308145148",
            "telephone_number": "517-582-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "BRANDYN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "RN316531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hendrix Jenkins, LCSW
• Brandy Nicole Jones, LMT
• Kays Pharmacy Inc
• Madalyn Leatherman, MS, LMFT
• Daniel Francis Massa, D.C.
• Medctr Inc (Harlem Pharmacy)
• Denise D Silver, PT
• Southerland Clark Enterprises LLC (Academy Lifelong Learning (ALL))
• Phuong Quynh Ngoc Spicer, D.M.D.
• Ebony Nichole Story, PMHNP, APRN

• Ambulatory Care Registered Nurse in Harlem, GA
• Providers in Harlem, GA by specialty
• Ambulatory Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.