Individual provider Active NPI

Johannes D Engelbrecht, M.D.

  • Family Medicine Physician
  • Bremen, GA
National Provider Identifier
1811282346
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
072259 Issued in GA
Practice address
1009 Alabama Ave S
Bremen, GA 30110-2501
Phone
(678) 821-6400
Fax
(678) 821-6401
NPI assigned
Jun 13, 2011
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33898 AL
Family Medicine Physician 207Q00000X 072259 GA Primary

Addresses

Primary practice location

1009 Alabama Ave S
Bremen, GA 30110-2501

Mailing address

222 Gordon St
Bremen, GA 30110-1519
Phone (770) 537-1234

Other practice location 1

21178 Main St
Ranburne, AL 36273-4210
Phone (938) 526-0010

Other practice location 2

820 Maple St
Carrollton, GA 30117-3626
Phone (678) 390-7915

Other identifiers 1

IdentifierTypeStateIssuer
1861915647OtherGAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140807002273 GA Practitioner - Family Practice 6800028515 Reassigns benefits to 6 organizations
I20231229001616 AL Practitioner - Family Practice 6800028515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
316 Family MedicineGroup PAC ID 6709159437, 4 clinicians

Practice addresses (Care Compare)

21178 Main St
Ranburne, AL 36273-4210
Phone (938) 526-0010

222 Gordon St
Bremen, GA 30110-1519
Phone (770) 537-1234

527 Tanner St
Carrollton, GA 30117-3318
Phone (678) 390-6575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
072259GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denis Morin Current Accepting new patients
Utm of Georgia Physicians LLC Family Medicine CurrentSince Dec 20, 2023 Accepting new patients
3:16 Urgent Care LLC Family Medicine CurrentSince Jan 14, 2026 Accepting new patients
TMC Immediate Care, Inc CurrentSince Dec 1, 2014 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Mar 23, 2020 Accepting new patients
TMC Buchanan Family Healthcare Center Family Medicine CurrentSince Jun 9, 2014 Accepting new patients
Wellstar Medical Group, LLC PastSince Aug 26, 2018 Accepting new patients
Tanner Bridge Clinic Inc Family Medicine Past Accepting new patients

Locations

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

2908 Business 27
Buchanan, GA 30113
Phone (770) 646-8281

30 Buchanan Byp
Buchanan, GA 30113
Phone (770) 646-8281

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Interoperability endpoints

  • Direct secure messaging: johannes.engelbrecht.1@22071.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1811282346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GORDON ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101519",
            "telephone_number": "770-537-1234",
            "fax_number": "770-537-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102501",
            "telephone_number": "678-821-6400",
            "fax_number": "678-821-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21178 Main St",
            "address_purpose": "LOCATION",
            "city": "Ranburne",
            "state": "AL",
            "postal_code": "362734210",
            "country_code": "US",
            "telephone_number": "938-526-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Maple St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173626",
            "country_code": "US",
            "telephone_number": "678-390-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELBRECHT",
        "first_name": "JOHANNES",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "33898",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "072259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861915647",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.