Individual provider Active NPI

Brandi George

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1508696782
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025701 Issued in FL
Practice address
100 W Gore St Ste 602
Orlando, FL 32806-1051
Phone
(407) 299-7333
NPI assigned
Aug 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11025701 FL Primary

Addresses

Primary practice location

100 W Gore St Ste 602
Orlando, FL 32806-1051

Mailing address

220 Sands Parc Blvd Apt 202
Daytona Beach, FL 32117-0047
Phone (814) 691-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11025701FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. CurrentSince Aug 12, 2024 Accepting new patients

Locations

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

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.

NPI Registry JSON

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1508696782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SANDS PARC BLVD APT 202",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321170047",
            "telephone_number": "814-691-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 602",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061051",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.