| Brandi Hartman Willard, NP-C | |
|
4589 Lawrenceville Rd, Loganville, GA 30052-7320 | |
| (770) 466-8672 | |
| Not Available |
| Full Name | Brandi Hartman Willard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4589 Lawrenceville Rd, Loganville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619083797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN 149632 NP (Georgia) | Primary |
| Entity Name | Georgia Em-i Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
| Entity Name | Emerginet, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164480869 PECOS PAC ID: 4082515853 Enrollment ID: O20040115000322 |
| Entity Name | Emerginet Henry, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811946627 PECOS PAC ID: 4981594900 Enrollment ID: O20040316000137 |
| Entity Name | Georgia Emergency Medicine Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316064629 PECOS PAC ID: 1153317151 Enrollment ID: O20040423001126 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Sugarloaf Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578907283 PECOS PAC ID: 1254566219 Enrollment ID: O20131028001766 |
| Entity Name | Baldwin Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306206826 PECOS PAC ID: 7012208408 Enrollment ID: O20160615000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Hartman Willard, NP-C 1158 Emperor Ln, Hoschton, GA 30548-3637 Ph: (770) 307-5913 | Brandi Hartman Willard, NP-C 4589 Lawrenceville Rd, Loganville, GA 30052-7320 Ph: (770) 466-8672 |
Gopika Naidu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Road, Loganville, GA 30052 Phone: 770-466-5902 | |
Jennifer Davis, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 770-466-6112 | |
Lori G Roberts, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 678-527-6000 Fax: 770-466-6201 | |
Johanne Dastine-coriolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4344 Grove Lake St, Loganville, GA 30052 Phone: 770-696-1350 | |
Mrs. Kimberly Denise Pegues, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650 | |
Mrs. Amarachi Edom, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Fall Creek Ldg, Loganville, GA 30052 Phone: 404-438-4634 | |
Ashley Owen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4593 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 |