Your Choice Healthcare, P.C.
Organization Active NPI Family Nurse Practitioner · Eastman, GA
NPI 1730625872 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1730625872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN133626 (GA)
- Legal business name
- YOUR CHOICE HEALTHCARE, P.C.
- Practice address
- 820 2ND Ave
Eastman, GA 31023-6112 - Phone
- (478) 559-3154
- Fax
- (478) 559-3150
- NPI assigned
- Jan 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Pamela Lynn Brown
- Title
- Ceo
- Phone
- (478) 559-3154
Other NPIs on the same Medicare enrollment 3
Subparts reporting this organization as parent 1
Practitioners 7
-
Janet Boone, NP
-
Pamela Lynn Brown, FNP-C
-
Morgan Beth Thomas, FNP-C
-
Jodi Marlisa Vaughn, APRN, PMHNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2126383 | Your Choice Healthcare, PC | Certificate of waiver | Feb 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170619000716 | GA | Part B Supplier - Clinic/Group Practice | 7810265717 |
Receives reassigned benefits from 7 practitioners 3 other NPIs on this enrollment Practice locations: Baxley, GA; Dublin, GA; Eastman, GA; MC Rae, GA |
National Provider Directory
Locations
16 S First Ave
Mc Rae, GA 31055
Phone (229) 868-2106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | RN133626 | GA | Yes |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
820 2ND Ave
Eastman, GA 31023-6112
Mailing address
820 2ND Ave
Eastman, GA 31023-6112
Phone (478) 559-3154
Other practice location 1
230 Industrial Blvd Ste C
Dublin, GA 31021-2904
Phone (478) 346-7150
Other practice location 2
388 S Main St
Baxley, GA 31513-0104
Phone (912) 705-9680
Other practice location 3
16 S First Ave
Mc Rae, GA 31055-3333
Phone (229) 868-2106
Other providers in Eastman, GA
All providers in Eastman, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.