Active NPI
Brianna Lynn Sample, DNP, FNP-BC
- Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN258419
- Practice address
- 1120 15TH St
Augusta, GA 30912-4193 - Phone
- (706) 721-4400
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.25142 | SC | |
| Family Nurse Practitioner | 363LF0000X | RN258419 | SC | |
| Nurse Practitioner | 363L00000X | RN258419 | GA | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-4193
Mailing address
6668 Crawford Place Rd
Appling, GA 30802-2327
Phone (269) 370-8429
Other practice location 1
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 228-1370
Other practice location 2
1000 Clyburn Pl
Aiken, SC 29801-4193
Phone (803) 380-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bsample605430@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.25142 | SC | MD | Family Nurse Practitioner |
| RN258419 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Past | Accepting new patients | |
| HHC Augusta, Inc | Past | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 4
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.
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-
- Multi-Specialty Clinic/Center
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- NPI 1841230620
-
- Psychiatric Hospital
- Augusta, GA
- NPI 1376633578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1972173813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6668 CRAWFORD PLACE RD",
"city": "APPLING",
"state": "GA",
"postal_code": "308022327",
"telephone_number": "269-370-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309124193",
"telephone_number": "706-721-4400"
}
],
"practiceLocations": [
{
"address_1": "1350 Walton Way",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012612",
"country_code": "US",
"telephone_number": "706-228-1370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Clyburn Pl",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298014193",
"country_code": "US",
"telephone_number": "803-380-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMPLE",
"first_name": "BRIANNA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN.25142",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "RN258419",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN258419",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsample605430@directwellstar.org",
"affiliation": "N",
"address_1": "1120 15th St",
"city": "Augusta",
"state": "GA",
"country_code": "US",
"postal_code": "309124193",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.