BRC Medhealth LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BRC MEDHEALTH LLC

Practice address

110 North Park Drive
Fayetteville, GA 30214

Phone

(470) 301-4563

Fax

(678) 379-0928

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Clark, FNP-BCNPI 1114058203

Title

Owner

Phone

(470) 301-4563

Specialties & licenses 1

Addresses

Other names 1

• BRC Medhealth LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara R. Clark, APRN FNP-BC

  • Family Nurse Practitioner
  • Jonesboro, GA
  • NPI 1114058203
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1750120945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 108",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "470-301-4563",
            "fax_number": "678-379-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH PARK DRIVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "470-301-4563",
            "fax_number": "678-379-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRC MEDHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-301-4563",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRC Medhealth LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Joseph Braim, PT, MPT
• Brainthrive
• Karen M Brancewicz, PAC
• Sharon Branch, PT
• Brenda James Brannon, L.P.C.
• Breaking the Chains, Inc
• Jessica Nicole Breaux, NP
• Maude Breaux
• Avery Lawyer Brewer, MS, LPC
• Bridge Medical Supply Corp

• Family Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, 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 May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.