Sykie Bradwell
Individual provider Active NPI Dietary Manager · Tyrone, GA
NPI 1568308971 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1568308971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dietary Manager 132700000X
- Practice address
- 102 Keswick Manor Dr
Tyrone, GA 30290-1540 - Phone
- (229) 288-1386
- NPI assigned
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Services Enterprises LLC | Dietary Manager | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | GA | Yes |
Addresses
Primary practice location
102 Keswick Manor Dr
Tyrone, GA 30290-1540
Mailing address
102 Keswick Manor Dr
Tyrone, GA 30290-1540
Phone (229) 288-1386
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.