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CHRISTINE WILLIAMS BREEDEN NP-C
NPI 1194271320
Nurse Practitioner - Family in Locust Grove, GA

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
4837 BILL GARDNER PKWY STE B, LOCUST GROVE, GA 30248(678) 800-1602(770) 627-0108 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2025, Feb 15, 2019, Aug 28, 2016 (3 updates tracked since 2016).

About Christine Williams Breeden Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE WILLIAMS BREEDEN NP-C (NPI 1194271320) is an individual family provider in Locust Grove, Georgia, licensed in Georgia (206681) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194271320
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHRISTINE WILLIAMS BREEDENCredential: NP-C
Location Address4837 BILL GARDNER PKWY STE BLocust Grove, GA 30248-3734
Mailing Address4837 Bill Gardner Pkwy Ste BLocust Grove, GA 30248-3734 · (678) 800-1602 · Fax (770) 627-0108
Phone(678) 800-1602
Fax(770) 627-0108
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 28, 2016
Last NPPES UpdateFebruary 16, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2025
✔ NPI 1194271320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 206681
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 206681 (GA)
4837 BILL GARDNER PKWY STE B, Locust Grove, GA 30248
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christine Williams Breeden Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284992017
PECOS Enrollment IDI20171227001277
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA FAYE TISON APRN, FNP-C
Nurse Practitioner (Family)
4837 BILL GARDNER PKWY STE B
LOCUST GROVE, GA 30248
Henry County (678) 800-1602

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 Christine Breeden's NPI number?

The NPI number for Christine Breeden is 1194271320. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Christine Breeden located?

Christine Breeden practices at 4837 Bill Gardner Pkwy Ste B, Locust Grove, GA 30248. The listed phone number is (678) 800-1602.

What is Christine Breeden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Christine Breeden enrolled in Medicare?

Yes. Christine Breeden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Christine Breeden was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.