Individual provider Active NPI

Brandy Bentley, APRN

  • Family Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1922620798
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225403 Issued in GA
Practice address
9670 Main St
Woodstock, GA 30188-3916
Phone
(678) 203-1020
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 225403 GA Primary

Addresses

Primary practice location

9670 Main St
Woodstock, GA 30188-3916

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013003164 GA Practitioner - Nurse Practitioner 0042630089 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.35 of 100Reported as group
Quality
92.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
Quality
87.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
225403GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Emergency Physicians, LLC CurrentSince Jan 10, 2023 Accepting new patients
Utm of Georgia Physicians LLC CurrentSince Feb 10, 2021 Accepting new patients
Murray Emergency Physicians, LLC CurrentSince Sep 1, 2024 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Jul 1, 2020 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Jan 3, 2022 Accepting new patients
Gordon Emergency Physicians, LLC CurrentSince Jan 10, 2023 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1762 Mars Hill Rd NW
Acworth, GA 30101
Phone (678) 732-1506

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

720 Transit Ave
Ste 101
Canton, GA 30114
Phone (770) 720-7000

120 Marietta Hwy
Canton, GA 30114
Phone (678) 732-1510

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

590 Lanier Ave W
Fayetteville, GA 30214

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

9670 Main St
Woodstock, GA 30188
Phone (678) 203-1020

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1922620798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883916",
            "telephone_number": "678-203-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "BRANDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "225403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.