Individual provider Active NPI

Traci Renee Bramlett, MSN, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1831280361
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006720 Issued in NC
Practice address
461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Phone
(910) 333-0283
Fax
(910) 333-0513
NPI assigned
Sep 28, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006720 NC Primary

Addresses

Primary practice location

461 Western Blvd Ste 122
Jacksonville, NC 28546-7637

Mailing address

461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Phone (910) 333-0283

Other practice location 1

1933 Shields Rd
Dalton, GA 30720-5069
Phone (706) 278-6628

Other practice location 2

1933 Shields Rd
Dalton, GA 30720-5069
Phone (706) 278-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913002325 NC Practitioner - Nurse Practitioner 8527151919 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical Clinic PLLC CurrentSince Oct 14, 2024 Accepting new patients
Concertocare Medical Group of North Carolina, PC CurrentSince Feb 16, 2026 Accepting new patients
Wilmington ASC LLC CurrentSince Mar 19, 2024 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Mar 8, 2025 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Mar 31, 2023 Accepting new patients
Wilmington Health PLLC CurrentSince Mar 19, 2024 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients
Peds Care P.C. Past Accepting new patients

Locations

811 Main St
#7
Kansas City, MO 64105

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

461 Western Blvd
Ste 122
Jacksonville, NC 28546
Phone (910) 330-2335

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1831280361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WESTERN BLVD STE 122",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467637",
            "telephone_number": "910-333-0283",
            "fax_number": "910-333-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WESTERN BLVD STE 122",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467637",
            "telephone_number": "910-333-0283",
            "fax_number": "910-333-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1933 Shields Rd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307205069",
            "country_code": "US",
            "telephone_number": "706-278-6628",
            "fax_number": "706-278-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1933 Shields Rd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307205069",
            "country_code": "US",
            "telephone_number": "706-278-6628",
            "fax_number": "706-278-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMLETT",
        "first_name": "TRACI",
        "middle_name": "RENEE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.