Individual provider Active NPI

Brandi Spikes Mathis, FNP

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1700301538
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN199053 Issued in GA
Practice address
3052 Shallowford Rd
Marietta, GA 30062-1252
Phone
(770) 240-0923
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 RN199053 GA
Nurse Practitioner 363L00000X RN199053 GA Primary

Addresses

Primary practice location

3052 Shallowford Rd
Marietta, GA 30062-1252

Mailing address

9900 Bren Rd E
Minnetonka, MN 55343-9603
Phone (912) 281-2925

Other practice location 1

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190117003496 GA Practitioner - Nurse Practitioner 1052657681 Reassigns benefits to 5 organizations
I20250401000066 VA Practitioner - Nurse Practitioner 1052657681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Emergency Group, LLCGroup PAC ID 5395918387, 25 clinicians
Wayne Emergency Group LLCGroup PAC ID 6103926241, 12 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5429

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 530-3395

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as group
Quality
84.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Sep 19, 2025 Accepting new patients
Continuous Care of Virginia, LLC CurrentSince Mar 1, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince Jul 1, 2021 Accepting new patients
Utm of Georgia Physicians LLC CurrentSince Sep 25, 2023 Accepting new patients
Wayne Emergency Group LLC Nurse Practitioner CurrentSince Apr 2, 2024 Accepting new patients
True North Health Navigation LLC CurrentSince Jul 1, 2021 Accepting new patients
Montgomery Emergency Group, LLC Nurse Practitioner CurrentSince Apr 13, 2024 Accepting new patients

Locations

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

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

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

2300 Fall Hill Ave
Ste 215
Fredericksburg, VA 22401
Phone 54037450973125

Organizations & group practices 7

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1700301538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439603",
            "telephone_number": "912-281-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 SHALLOWFORD RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621252",
            "telephone_number": "770-240-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 TEBEAU ST",
            "address_purpose": "LOCATION",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016357",
            "country_code": "US",
            "telephone_number": "912-283-3030",
            "fax_number": "912-287-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "BRANDI",
        "middle_name": "SPIKES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199053",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN199053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.