ASHLIE LYNN BRACKIN
NPI 1215548490
Nurse Practitioner - Family in Colquitt, GA

Q: What is Ashlie Brackin's NPI number?

The NPI number for Ashlie Brackin is 1215548490. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Q: What is Ashlie Brackin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashlie Brackin was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 12, 2020PECOS Enrolled

103 W PINE ST, COLQUITT, GA 39837(229) 758-3002(229) 758-9415 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Sep 16, 2020, Aug 12, 2020 (3 updates tracked since 2020).

On this page

About Ashlie Lynn Brackin NPPES

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

ASHLIE LYNN BRACKIN (NPI 1215548490) is an individual family provider in Colquitt, Georgia, licensed in Georgia (RN194942) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215548490

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLIE LYNN BRACKIN

Location Address103 W PINE STColquitt, GA 39837-3526

Mailing Address112 N Cuthbert StColquitt, GA 39837-3419 · (229) 758-3002 · Fax (229) 758-9415

Phone(229) 758-3002

Fax(229) 758-9415

Sole ProprietorNo

Enumeration DateAugust 12, 2020

Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1215548490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN194942

103 W PINE ST, Colquitt, GA 39837

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashlie Lynn Brackin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39837 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 6

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

LISA ANN SWOFFORD FNP

Nurse Practitioner