Saleta Anica Brogdon, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN197303 Issued in GA

Practice address

10 Muirfield Dr
Covington, GA 30016-6536

Phone

(404) 641-6237

Fax

(678) 806-4803

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By 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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHBDA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hartley Health and Wellness Associates, LLC

  • Nursing Care Agency
  • Canton, GA
  • NPI 1033514302
  Medicare reassignment NPD
• Pruitthealth Physicians Services, LLC

  dba PruittHealth Physicians Services

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1043676299
  Medicare reassignment NPD
• Transitional Care Physicians of Georgia PC

  • Specialist
  • Monroe, GA
  • NPI 1619317542
  Medicare reassignment NPD
• Bio-Medical Applications of Georgia, Inc.

  dba Fresenius Kidney Care Richmond County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hephzibah, GA
  • NPI 1184208712
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1588277867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MUIRFIELD DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166536",
            "telephone_number": "404-641-6237",
            "fax_number": "678-806-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MUIRFIELD DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166536",
            "telephone_number": "404-641-6237",
            "fax_number": "678-806-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "SALETA",
        "middle_name": "ANICA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN197303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Monroe Briggs II, PHARMD
• Bright Start (D/B/A Bright Start)
• Brinsonnia Compassionate Care LLC
• Kimberly Britt, LMSW
• Sharon Britto
• Donna Vella Brown, RDN,LD
• Janice Brown
• Joyce Denise Brown
• Nena N Brown, LPC
• Paulette Brown, LPC

• Gerontology Nurse Practitioner in Covington, GA
• Providers in Covington, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.