| Brenda Bradshaw, NP | |
|
164 Red Oak Rd, Byron, GA 31008-6303 | |
| (229) 977-1171 | |
| Not Available |
| Full Name | Brenda Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 164 Red Oak Rd, Byron, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376303420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN212998 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 212998 (Georgia) | Primary |
| Entity Name | Inpatient Consultants Of Georgia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659403970 PECOS PAC ID: 2264539618 Enrollment ID: O20070518000143 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240801002803 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Bradshaw, NP 164 Red Oak Rd, Byron, GA 31008-6303 Ph: (229) 977-1171 | Brenda Bradshaw, NP 164 Red Oak Rd, Byron, GA 31008-6303 Ph: (229) 977-1171 |
Mrs. Tara Leeann Hamilton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Highway 247 Conn, Byron, GA 31008 Phone: 478-654-2400 | |
Chelsea Hayman, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-956-5002 Fax: 478-956-5003 | |
Jennifer Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Moseley Rd, Byron, GA 31008 Phone: 478-654-5327 Fax: 478-654-5218 | |
Holly Rebecca Norris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6021 Watson Blvd, Byron, GA 31008 Phone: 478-956-5002 Fax: 478-956-5003 | |
Mrs. Tyechia Lewis Hall, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-699-1028 Fax: 478-699-1029 | |
Mrs. Daniela Torres, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-956-5002 | |
Casey Cochran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-699-1028 Fax: 478-699-1029 |