Jody Marie Bahnmiller-Brasil, M.D.
Individual provider Active NPI Family Medicine Physician · Dacula, GA
NPI 1871789271 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1871789271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 069760 (GA)
- Practice address
- 3575 Braselton Hwy
Dacula, GA 30019-1027 - Phone
- (770) 848-5300
- Fax
- (770) 848-5301
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
1315 Jesse Jewell Pkwy NE
Suite 300
Gainesville, GA 30501-3822
Phone (770) 219-6520
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Northeast Georgia Medical Center, Inc
- NGMC Barrow, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130702000631 | GA | Practitioner - Family Practice | 5092904235 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
| Georgia Heart Institute LLC | Past | Accepting new patients |
Locations
3575 Braselton Hwy
Dacula, GA 30019
Phone (770) 848-5300
1315 Jesse Jewell Pkwy NE
Ste 300
Gainesville, GA 30501
Phone (770) 219-6520
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 069760 | GA | Yes |
Addresses
Primary practice location
3575 Braselton Hwy
Dacula, GA 30019-1027
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other names
- Jody Marie Bahnmiller
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbahnmillerbrasil29417@nghs.gadirect.net | Direct |
Other providers in Dacula, GA
- Atlanta'S Elite Home Care LLC
- Attending to Your Home Care
- Deborah L. Augst
- Laetitia Badio
- Mohamed J Bah
- Amy E. Bailey
- Edward R Bailey
- Rhonda D Baker
- Kelly Jones Ball
- Samantha Ball
All providers in Dacula, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.