Audrey Edwards Brannon, RD. LD. MSA, DMIN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1 Freedom Way
296 U
Augusta, GA 30904

Phone

(706) 733-0188

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Audrey Edwards Brannon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1629164355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "address_2": "296 U",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-733-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "address_2": "296 U",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-733-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "AUDREY",
        "middle_name": "EDWARDS",
        "name_prefix": "Mrs.",
        "credential": "RD. LD. MSA, DMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSURE",
            "identifier": "LD002235",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR, RD REGISTRATION NUM",
            "identifier": "725487",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "BRANNON",
            "middle_name": "EDWARDS",
            "prefix": "MRS.",
            "credential": "DOCTORATE MINISTRY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Brands, M.D.
• Susan Brands, MD
• Sarah Oates Brandt
• Zachery Clint Branham, DO
• Alfred Lynne Brannen II, MD
• Bransford LLC
• Lucy-Marie Boone Brantley, M.D.
• J Allen Braselton, DMD
• Lorraine Claire Braswell, PHD
• Charlotte C Brathwaite, SLP

• Registered Dietitian in Augusta, GA
• Providers in Augusta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.