Active NPI
Brandon Harold Printup, L.P.C
- Professional Counselor
- Decatur, GA
National Provider Identifier
1811031669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 004266
- Practice address
- 1074 North Decatur Rd
Suite 145
Decatur, GA 30030 - Phone
- (770) 918-6677
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 004266 | GA | Primary |
Addresses
Primary practice location
1074 North Decatur Rd
Suite 145
Decatur, GA 30030
Mailing address
939 Porter Rd
Decatur, GA 30032-1729
Phone (404) 292-9510
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004266 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- brandonprintup@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1811031669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 PORTER RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321729",
"telephone_number": "404-292-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 NORTH DECATUR RD",
"address_2": "SUITE 145",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "770-918-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINTUP",
"first_name": "BRANDON",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "L.P.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "004266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
- Prime Care Nursing & Support Services, LLC
- Prime Comfort Transport LLC
- Prime Regen Decatur
- Primrose Home Care & Staffing Solutions LLC
- Makenya Pringle, PH.D.
- Priority Health, LLC
- Professional Healthcare Corporation
- Professional Medical Institute Inc Dba Professional Medical Home Care (professional medical home care agency)
- Progress Village Pediatric Therapy Services
- Progressive DG, LLC (Progressive Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.