Rebecca L Brigola, APNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN259312 Issued in GA

Practice address

4120 Five Forks Trickum Rd SW Ste 102
Lilburn, GA 30047-8975

Phone

(770) 923-6400

NPI assigned

Feb 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gwinnett Pediatric Partners, Inc

  • Pediatrics Physician
  • Lilburn, GA
  • NPI 1528469426
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1912530866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4289 AMBERLEAF WALK",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473158",
            "telephone_number": "703-405-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 FIVE FORKS TRICKUM RD SW STE 102",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478975",
            "telephone_number": "770-923-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGOLA",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN259312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.gwinnettchildren.org/",
            "affiliation": "Y",
            "endpointDescription": "Business Website",
            "affiliationName": "Gwinnett Pediatric Partners, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4120 Five Forks Trickum Rd SW Ste 102",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300478975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brain and Soul Wellness Group, LLC
• James Palmer Branch, D.P.M
• William George Brandenburg, DDS
• Braveheart Medical Response LLC
• Karen Bridges, RPH
• Michael James Brissett, PH.D.
• Alan D Brown Jr., O.D.
• Roselyn Burton Brown, PA-C
• Erin Bullock
• Melissa Renae Burgess, CPM

• Pediatric Nurse Practitioner in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.