Individual provider Active NPI

Brandi H Justice, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1700125226
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN123494 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(866) 507-5244
Fax
(855) 851-4405
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN123494 GA Primary

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Other identifiers 1

IdentifierTypeStateIssuer
RN123494OtherGAGA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000594 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416192539 Reassigns benefits to 11 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2022 Accepting new patients
Gastro South Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2024 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince May 22, 2023 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2021 Accepting new patients
Macon Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2019 Accepting new patients
South Atlanta Vascular Institute, LLC Past Accepting new patients

Locations (25 of 29)

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

3886 Princeton Lakes Way SW
Ste 100
Atlanta, GA 30331
Phone (404) 768-1133

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (770) 270-5229

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

2400 Bellevue Rd
Ste 17
Dublin, GA 31021
Phone (478) 274-8600

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

425 Forest Pkwy
Ste 103
Forest Park, GA 30297
Phone (404) 363-1087

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

112 Arkwright Lndg
Macon, GA 31210
Phone (478) 471-9779

800 1st St
Ste 110
Macon, GA 31201
Phone (478) 743-3466

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

577 Mulberry St
Ste 110
Macon, GA 31201
Phone (240) 469-2179

215 Sheraton Blvd
#2
Macon, GA 31210
Phone (478) 743-1458

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

249 Sheraton Blvd
Macon, GA 31210
Phone (478) 241-2780

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

5400 Bowman Rd
Ste 200
Macon, GA 31210
Phone (478) 621-4501

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

100 Three Rivers Dr NE
Ste B
Rome, GA 30161
Phone (706) 292-0400

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

1468 Montreal Rd
Ste 200
Tucker, GA 30084
Phone (770) 638-1400

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1700125226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "866-507-5244",
            "fax_number": "855-851-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "BRANDI",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN123494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "RN123494",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.