Individual provider Active NPI

Karen E Brazell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1689035032
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN216047 Issued in GA
Practice address
100 Brampton Ave Ste 2D
Statesboro, GA 30458-0826
Phone
(912) 250-6745
Fax
(800) 466-0194
NPI assigned
Mar 14, 2016
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216047 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN216047 GA Primary

Addresses

Primary practice location

100 Brampton Ave Ste 2D
Statesboro, GA 30458-0826

Mailing address

100 Brampton Ave Ste 2D
Statesboro, GA 30458-0826
Phone (912) 259-9559

Other practice location 1

700 Coastal Village Dr
Brunswick, GA 31520-1974
Phone (912) 554-8454

Other practice location 2

600 Dot Barn Rd
Bloomingdale, GA 31302-9353
Phone (912) 712-1140

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
I20170920002110 GA Practitioner - Nurse Practitioner 4789958364 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN216047GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Behavioral Health Services CurrentSince Jul 5, 2017 Accepting new patients
Lookout Mountain Community Services CurrentSince Sep 1, 2019 Accepting new patients
Gateway Community Service Board Current Accepting new patients
Lookout Mountain Community Services CurrentSince Sep 1, 2019 Accepting new patients
Lookout Mountain Community Services Current Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

110 Hedekin Cir
Ft Oglethorpe, GA 30742
Phone (706) 866-5945

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

501 Mize St
La Fayette, GA 30728
Phone (706) 638-5591

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1689035032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRAMPTON AVE STE 2D",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580826",
            "telephone_number": "912-259-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRAMPTON AVE STE 2D",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580826",
            "telephone_number": "912-250-6745",
            "fax_number": "800-466-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Coastal Village Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315201974",
            "country_code": "US",
            "telephone_number": "912-554-8454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Dot Barn Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "GA",
            "postal_code": "313029353",
            "country_code": "US",
            "telephone_number": "912-712-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZELL",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216047",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN216047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.