Individual provider Active NPI

Brandon Haverfield, MPAS, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1760931596
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10100606-1206 Issued in GA
Practice address
5555 Peachtree Dunwoody Rd Ste 201
Atlanta, GA 30342-1711
Phone
(470) 663-6622
Fax
(877) 651-1504
NPI assigned
Sep 21, 2016
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10100606-1206 GA Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd Ste 201
Atlanta, GA 30342-1711

Mailing address

5555 Peachtree Dunwoody Rd Ste 201
Atlanta, GA 30342-1711
Phone (470) 663-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10100606-1206GAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1760931596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421711",
            "telephone_number": "470-663-6622",
            "fax_number": "877-651-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421711",
            "telephone_number": "470-663-6622",
            "fax_number": "877-651-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERFIELD",
        "first_name": "BRANDON",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10100606-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.