Organization Active NPI

Brave Minds Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1790605822
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRAVE MINDS WELLNESS, LLC
Practice address
354 Newnan Crossing Byp FL 2
Newnan, GA 30265-2323
Phone
(470) 995-5469
Fax
(406) 289-9609
NPI assigned
Jul 18, 2026
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Dorthea Rogers, APRNNPI 1154141430
Title
Owner
Phone
(470) 995-5469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

354 Newnan Crossing Byp FL 2
Newnan, GA 30265-2323

Mailing address

354 Newnan Crossing Byp Ste 235
Newnan, GA 30265-2435
Phone (470) 995-5469

Other practice location 1

170 Commerce Way Ste 200
Portsmouth, NH 03801-3272
Phone (470) 995-5469

National Provider Directory

National Provider Directory

Locations

354 Newnan Crossing Byp
Ste 235
Newnan, GA 30265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1790605822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 NEWNAN CROSSING BYP STE 235",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652435",
            "telephone_number": "470-995-5469",
            "fax_number": "406-289-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NEWNAN CROSSING BYP FL 2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652323",
            "telephone_number": "470-995-5469",
            "fax_number": "406-289-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Commerce Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013272",
            "country_code": "US",
            "telephone_number": "470-995-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAVE MINDS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DORTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-995-5469",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.