Individual provider Active NPI

Brandy Shea Chambers, NP

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1609444108
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209130 Issued in GA
Practice address
3212 Shrine Rd
Brunswick, GA 31520-4353
Phone
(912) 289-7004
Fax
(912) 289-7004
NPI assigned
Jun 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 RN209130 GA Primary

Addresses

Primary practice location

3212 Shrine Rd
Brunswick, GA 31520-4353

Mailing address

3212 Shrine Rd
Brunswick, GA 31520-4353
Phone (912) 289-7004

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629002570 GA Practitioner - Nurse Practitioner 0547661407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden Isles Family Health Care, LLCGroup PAC ID 5991127060, 4 clinicians

Practice addresses (Care Compare)

3212 Shrine Rd
Brunswick, GA 31520-4353
Phone (912) 289-7004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Isles Family Healthcare, LLC Primary Care CurrentSince Jun 22, 2021 Accepting new patients

Locations

3212 Shrine Rd
Brunswick, GA 31520
Phone (912) 265-6344

3010 Altama Ave
Brunswick, GA 31520
Phone (912) 266-8140

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1609444108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "912-289-7004",
            "fax_number": "912-289-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "912-289-7004",
            "fax_number": "912-289-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "BRANDY",
        "middle_name": "SHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.