MRS. BRENDA GAIL TOLLESON NP
NPI 1043402613
Nurse Practitioner - Family in Gray, GA
About Mrs. Brenda Gail Tolleson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRENDA GAIL TOLLESON NP (NPI 1043402613) is an individual family provider in Gray, Georgia, licensed in Georgia (RN118107) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gray.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Brenda Gail Tolleson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Brenda Tolleson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gray, GA 31032
- Reassigned Medicare billing, Georgia enrollment
- 72 clinicians in this Medicare group
Gray, GA 31032
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Norcross, GA 30093
- Reassigned Medicare billing, Georgia enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brenda Tolleson's NPI number?
The NPI number for Brenda Tolleson is 1043402613. It was assigned to this individual provider in the NPPES registry on August 16, 2007.
Where is Brenda Tolleson located?
Brenda Tolleson practices at 1005 Boulder Dr, Gray, GA 31032. The listed phone number is (478) 621-2100.
What is Brenda Tolleson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brenda Tolleson enrolled in Medicare?
Yes. Brenda Tolleson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brenda Tolleson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Tolleson reassigns Medicare benefits to 3 organizations: Community Primary Care Of Georgia LLC (Gray, GA), Gray Family Health LLC (Gray, GA) and Pruitthealth Physicians Services, LLC (Norcross, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Tolleson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brenda Tolleson was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Brenda Gail Tolleson, NP · NPI 1043402613
Family physician in Gray, Georgia. Individual provider, active in the CMS NPPES registry since August 16, 2007.
## Identity
- **NPI:** 1043402613 (Entity type: Individual)
- **Enumerated:** August 16, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN118107 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1005 BOULDER DR, Gray, GA 31032
- **Phone:** (478) 621-2100 · **Fax:** (478) 744-0481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Primary Care Of Georgia LLC (NPI 1336492511, Gray, GA); Gray Family Health LLC (NPI 1376720698, Gray, GA); Pruitthealth Physicians Services, LLC (NPI 1043676299, Norcross, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1043402613) · Data from the CMS NPPES public registry.