Individual provider Active NPI

Kamila Renee Brinson, FNP, BC

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1720588346
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203175 Issued in GA
Practice address
2747 4TH St
Brunswick, GA 31520-3714
Phone
(912) 264-3236
Fax
(912) 264-0813
NPI assigned
Feb 20, 2018
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203175 GA Primary

Addresses

Primary practice location

2747 4TH St
Brunswick, GA 31520-3714

Mailing address

334 Smith Ave
Thomasville, GA 31792-5533
Phone (229) 227-1595

Other identifiers 1

IdentifierTypeStateIssuer
003202607AMedicaidGA

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
I20181008002805 GA Practitioner - Nurse Practitioner 6002168713 Reassigns benefits to 3 organizations

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
Glynn County Board of HealthGroup PAC ID 4385532456, 3 clinicians

Practice addresses (Care Compare)

2747 4TH St
Brunswick, GA 31520-3714
Phone (912) 264-3961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Sep 13, 2022 Accepting new patients
Minuteclinic LLC Family CurrentSince Sep 29, 2021 Accepting new patients
Glynn County Board of Health CurrentSince Dec 16, 2024 Accepting new patients
Coastal Community Health Services Inc CurrentSince Sep 13, 2022 Accepting new patients
Nephrology Medical Associates of Georgia, LLC Past Accepting new patients

Locations

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

150 Scranton Connector
Brunswick, GA 31525
Phone (912) 262-2300

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-1626

2747 4th St
Brunswick, GA 31520
Phone (912) 262-2347

3905 Due West Rd NW
Marietta, GA 30064
Phone (678) 209-3022

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1720588346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595",
            "fax_number": "229-227-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 4TH ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203714",
            "telephone_number": "912-264-3236",
            "fax_number": "912-264-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "KAMILA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202607A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.