Active NPI
Eric Brandenburg, NP
- Nurse Practitioner
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP269531
- Practice address
- 1480 S Highway 27
Carrollton, GA 30117-8901 - Phone
- (770) 812-9445
- NPI assigned
- Nov 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP269531 | GA | Primary |
Addresses
Primary practice location
1480 S Highway 27
Carrollton, GA 30117-8901
Mailing address
1002 Whooping Creek Rd
Carrollton, GA 30116-8988
Phone (678) 457-7677
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
- University of Alabama School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1480S Hwy 27
Carrollton, GA 30117-8901
Phone (770) 836-9445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP269531 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Current | Accepting new patients | |
| TMC Immediate Care, Inc | Current | Accepting new patients |
Locations
1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Villa Rica, GA
- NPI 1386708097
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1548036007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 WHOOPING CREEK RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301168988",
"telephone_number": "678-457-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 S HIGHWAY 27",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301178901",
"telephone_number": "770-812-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "ERIC",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "APRN-NP269531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.