MEDPRIME BROOKHAVEN
NPI 1205288164
Preferred Provider Organization in Atlanta, GA

Q: What is Medprime Brookhaven's NPI number?

The NPI number for Medprime Brookhaven is 1205288164. It was assigned to this organization in the NPPES registry on July 4, 2016.

Q: What is Medprime Brookhaven's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since July 04, 2016

2 CONCOURSE PKWY, SUITE 100, ATLANTA, GA 30328(678) 691-8239 Get Directions Write a Review

NPPES record last updated: July 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Medprime Brookhaven NPPES

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

MEDPRIME BROOKHAVEN (NPI 1205288164) is a healthcare organization registered as a preferred provider organization in Atlanta, Georgia and active in the NPI registry since July 2016. The organization lists Sherwin Eugene Bryant, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1205288164

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameMEDPRIME BROOKHAVEN

Location Address2 CONCOURSE PKWY, SUITE 100Atlanta, GA 30328-5371

Mailing Address1100 Peachtree St Ne, Suite 200Atlanta, GA 30309-4501 · (678) 691-8239

Phone(678) 691-8239

Organization SubpartNo

Authorized OfficialSherwin Eugene BryantCompliance Officer · (678) 691-8239

Enumeration DateJuly 4, 2016

✔ NPI 1205288164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in GA · 61430

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

2 CONCOURSE PKWY, Atlanta, GA 30328

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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 Medprime Brookhaven's NPI number?

The NPI number for Medprime Brookhaven is 1205288164. It was assigned to this organization in the NPPES registry on July 4, 2016.

Where is Medprime Brookhaven located?

Medprime Brookhaven is located at 2 Concourse Pkwy Suite 100, Atlanta, GA 30328. The listed phone number is (678) 691-8239.

What is Medprime Brookhaven's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Medprime Brookhaven was last updated on July 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.