Individual provider Active NPI

Brandon Brand, NP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1962032912
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN201350 Issued in GA
Practice address
3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425
Phone
(678) 668-4688
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 RN201350 GA Primary

Addresses

Primary practice location

3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425

Mailing address

3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425
Phone (678) 668-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN201350GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chacko M.D. P.C CurrentSince Sep 1, 2020 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 203
Alpharetta, GA 30022
Phone (678) 668-4688

3755 Sixes Rd
Ste 202
Canton, GA 30114
Phone (770) 720-1880

960 Sanders Rd
Ste 500
Cumming, GA 30041
Phone (312) 576-4598

3770 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 495-0410

5555 Peachtree Dunwoody Rd
Ste 125
Sandy Springs, GA 30342
Phone (404) 255-1918

Organizations & group practices 1

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1962032912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "678-668-4688",
            "fax_number": "888-823-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "678-668-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "BRANDON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.