MEDPRIME BROOKHAVEN
NPI 1205288164
Preferred Provider Organization in Atlanta, GA

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: July 26, 2026.

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
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

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 with the weekly NPPES data releases published by CMS.