Individual provider Active NPI

Brandee Nicole Urrutia, MD

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1851552053
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66661 Issued in GA
Practice address
4355 Browns Bridge Rd Ste 1
Cumming, GA 30041-4554
Phone
(770) 771-5050
Fax
(770) 771-5051
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 66661 GA Primary

Addresses

Primary practice location

4355 Browns Bridge Rd Ste 1
Cumming, GA 30041-4554

Mailing address

4355 Browns Bridge Rd Ste 1
Cumming, GA 30041-4554
Phone (770) 771-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000417 GA Practitioner - Internal Medicine 3577730431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NG Medical Group, P.C.Group PAC ID 5395909857, 2 clinicians

Practice addresses (Care Compare)

4355 Browns Bridge Rd
Suite 1
Cumming, GA 30041-4554
Phone (770) 771-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66661GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NG Medical Group, P.C. Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients

Locations

4355 Browns Bridge Rd
#1
Cumming, GA 30041
Phone (770) 771-0550

Interoperability endpoints

  • Direct secure messaging: brandee2@nmgp-ga.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1851552053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 BROWNS BRIDGE RD STE 1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414554",
            "telephone_number": "770-771-5050",
            "fax_number": "770-771-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 BROWNS BRIDGE RD STE 1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414554",
            "telephone_number": "770-771-5050",
            "fax_number": "770-771-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "BRANDEE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-07-14",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "66661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.