Brandi Josette Roberson, FNP-C
Nurse Practitioner, Family in Milledgeville, GA. Individual provider (NPI-1).
NPI number1962010660
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1962010660
- Entity type
- Individual (NPI-1)
- Name
- Brandi Josette Roberson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN219936 | GA | Yes |
Practice location
143 Lake Laurel Rd NeMilledgeville, GA 31061-9012
Phone 478-456-0093
Mailing address
143 Lake Laurel Rd NeMilledgeville, GA 31061-9012
Phone 478-456-0093
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