Active NPI
Marcia F. McBrayer, CFNP
- Family Nurse Practitioner
- Tucker, GA
National Provider Identifier
1659478501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN076329
- Practice address
- 1390 Montreal Rd
Suite 180
Tucker, GA 30084-8143 - Phone
- (404) 446-4600
- Fax
- (404) 446-4601
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 17, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN076329 | GA | Primary |
Addresses
Primary practice location
1390 Montreal Rd
Suite 180
Tucker, GA 30084-8143
Mailing address
1390 Montreal Rd
Suite 180
Tucker, GA 30084-8143
Phone (404) 446-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156727915A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN076329 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Pediatric Associates PC | Past | Accepting new patients | |
| Pediatric Associates of Lawrenceville LLC | Past | Accepting new patients | |
| Georgia Surgical Professional Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCBBAA
- mmcbrayer@pal.opdirect.net
Organizations & group practices 3
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.
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- Pediatric Adolescent Medicine Physician
- Lawrenceville, GA
- NPI 1770601593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1659478501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 MONTREAL RD",
"address_2": "SUITE 180",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848143",
"telephone_number": "404-446-4600",
"fax_number": "404-446-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 MONTREAL RD",
"address_2": "SUITE 180",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848143",
"telephone_number": "404-446-4600",
"fax_number": "404-446-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRAYER",
"first_name": "MARCIA",
"middle_name": "F.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN076329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156727915A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.