Brandi Josette Roberson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN219936 Issued in GA

Practice address

143 Lake Laurel Rd NE
Milledgeville, GA 31061-9012

Phone

(478) 456-0093

NPI assigned

Jul 20, 2020

Last updated

Jul 27, 2020By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Chronic Disease Management of Georgia, LLC

  • Physical Medicine & Rehabilitation Physician
  • Monroe, GA
  • NPI 1699300939
  Medicare reassignment NPD
• Southeast Geriatrics Inc

  • Nursing Facility/Intermediate Care Facility
  • Dublin, GA
  • NPI 1427126614
  Medicare reassignment NPD
• Transitional Care Physicians of Georgia PC

  • Specialist
  • Monroe, GA
  • NPI 1619317542
  Medicare reassignment NPD
• Truhealth, LLC

  • Nurse Practitioner
  • Parsons, TN
  • NPI 1063843951

  GA

  Medicare reassignment NPD
• Geriatric Ancillary Services Inc

  • Nursing Facility/Intermediate Care Facility
  • Dublin, GA
  • NPI 1528290111
  NPD (past)
• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Big Bear City, CA
  • NPI 1740929694
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1962010660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LAKE LAUREL RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619012",
            "telephone_number": "478-456-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LAKE LAUREL RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619012",
            "telephone_number": "478-456-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "BRANDI",
        "middle_name": "JOSETTE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Edge Behavioral Health Center (River Edge Baldwin County)
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center
• Semika Roach, LPC
• June Roberson, LCSW
• Bradley Shawn Roberts, P.T.
• Catherine S Roberts, M.D.
• Tykia Roberts
• Willis Reid Roberts Jr., M.D.

• Family Nurse Practitioner in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.