Tammy C Brannon, MS,PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT004791 Issued in GA

Practice address

634 Tommy Aaron Dr
Gainesville, GA 30506-1504

Phone

(770) 503-7337

Fax

(770) 503-7337

NPI assigned

Dec 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Brannon Pediatric Services, Inc.

  • Pediatric Physical Therapist
  • Gainesville, GA
  • NPI 1356694806

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679639355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 TOMMY AARON DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061504",
            "telephone_number": "770-503-7337",
            "fax_number": "770-503-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 TOMMY AARON DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061504",
            "telephone_number": "770-503-7337",
            "fax_number": "770-503-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "TAMMY",
        "middle_name": "C",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT004791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00776916A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Keith Brady, M.D.
• Vanessa Callahan Bragger, LMT
• Clinton Emmitt Branch Jr., M.D., F.A.A.N.
• Megan Branch, PT, DPT
• Brannon Pediatric Services, Inc.
• Braselton Gainesville Emergency Department PC
• Davina Sara Braselton, PA-C
• Ninoska Mercedes Bravo-Machado
• Breathe Better Allergy Asthma & Sinus Center, Inc
• Breathe Better Allergy, Asthma, and Sinus P.C.

• All providers in Gainesville, GA
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.