Tracesha Ann Brummitt, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN170053 Issued in GA

Practice address

1787 Broad St
Lumpkin, GA 31815-3045

Phone

(229) 838-4900

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIGBBA/Endpoint/CIGBBA

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1841640174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 KINGSBERRY ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319074233",
            "telephone_number": "706-563-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 BROAD ST",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "318153045",
            "telephone_number": "229-838-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMITT",
        "first_name": "TRACESHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170053",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN170053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Funmilayo A Aina, FNP
• Carolyn H Baker
• Monica Elaine Bennefield, LCSW
• Sys Dennis Bennefield, PHARM.D.
• James Allen Blankenship, C-APN
• Chassy Gilbert
• Gary Steven Koller
• Crystail Jean Latimer
• Lumpkin Drugs Inc
• Lumpkin Family Clinic

• Primary Care Nurse Practitioner in Lumpkin, GA
• Providers in Lumpkin, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.