Brandi Josette Roberson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Milledgeville, GA
NPI 1962010660 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1962010660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN219936 (GA)
- Practice address
- 143 Lake Laurel Rd NE
Milledgeville, GA 31061-9012 - Phone
- (478) 456-0093
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825003725 | GA | Practitioner - Nurse Practitioner | 7810314663 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Care Physicians of Georgia PC | Current |
Accepting new patients | |
| Chronic Disease Management of Georgia, LLC | Current |
Accepting new patients | |
| Truhealth, LLC | Current |
Accepting new patients | |
| Southeast Geriatrics Inc | Current |
Accepting new patients | |
| Geriatric Ancillary Services Inc | Past |
Accepting new patients | |
| Lactation Consultants of America | Past | Accepting new patients |
Locations
325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514
704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN219936 | GA | Yes |
Addresses
Primary practice location
143 Lake Laurel Rd NE
Milledgeville, GA 31061-9012
Mailing address
143 Lake Laurel Rd NE
Milledgeville, GA 31061-9012
Phone (478) 456-0093
Other providers in Milledgeville, GA
- River Edge Behavioral Health Center
- River Edge Behavioral Health Center
- River Edge Behavioral Health Center
- River Edge Behavioral Health Center
- Semika Roach
- June Roberson
- Bradley Shawn Roberts
- Catherine S Roberts
- Tykia Roberts
- Willis Reid Roberts Jr.
All providers in Milledgeville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.