Briana Nicole Gantt I, FNP- BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN259582 Issued in GA

Practice address

1685 Old Pendergrass Rd
Jefferson, GA 30549-2705

Phone

(706) 387-7637

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Silverleaf Hospice, Inc.Group PAC ID 6800966979, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Silverleaf Hospice, Inc

  dba BridgeWay Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Watkinsville, GA
  • NPI 1144770199
  Medicare reassignment Care Compare group NPD
• Peachtree Hospice of Georgia, LLC

  dba BridgeWay Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stockbridge, GA
  • NPI 1255788436
  Medicare reassignment NPD
• Truhealth, LLC

  • Nurse Practitioner
  • Parsons, TN
  • NPI 1063843951

  GA

  Medicare reassignment NPD
• TLC of Georgia LLC

  dba The Little Clinic

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1750677241
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1740063221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SIMS KIDD RD",
            "city": "COMER",
            "state": "GA",
            "postal_code": "306294136",
            "telephone_number": "706-340-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 OLD PENDERGRASS RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492705",
            "telephone_number": "706-387-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "BRIANA",
        "middle_name": "NICOLE",
        "name_suffix": "I",
        "credential": "FNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN259582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flint Health Enhancements, LLC (Jefferson Chiro and Advanced Medical)
• Jacob C Flint, PT, DPT
• Kenneth Lee Flint Jr., D.C.
• Cassidy Flynt
• Renah Elizabeth Gallagher, CSFA
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 04164)
• Georgia Eyecare Group
• Glegen Medical Ga Inc
• Hailey Grace Glowacki
• Melissa Anne Gottschall, RN

• Family Nurse Practitioner in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.