MRS. BRANDIS BANNISTER FNP
NPI 1275943581
Nurse Practitioner - Family in Augusta, GA

Q: What is Brandis Bannister's NPI number?

The NPI number for Brandis Bannister is 1275943581. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Q: What is Brandis Bannister'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 Brandis Bannister was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 08, 2014PECOS Enrolled

2467 GOLDEN CAMP RD, AUGUSTA, GA 30906(706) 790-4440(706) 790-4393 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2021, Aug 18, 2016 (2 updates tracked since 2016).

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About Mrs. Brandis Bannister Fnp NPPES

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

MRS. BRANDIS BANNISTER FNP (NPI 1275943581) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN185747) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1275943581

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BRANDIS BANNISTERCredential: FNP

Location Address2467 GOLDEN CAMP RDAugusta, GA 30906-5515

Mailing Address2467 Golden Camp RdAugusta, GA 30906-5515 · (706) 790-4440 · Fax (706) 790-4393

Phone(706) 790-4440

Fax(706) 790-4393

Sole ProprietorNo

Enumeration DateMay 8, 2014

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1275943581 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 · RN185747

2467 GOLDEN CAMP RD, Augusta, GA 30906

Open in Google Maps ↗

Secondary Practice Location 1

Location 1811 13th St Ste 11Augusta, GA 30901-2771 · Phone (706) 823-6177

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Brandis Bannister Fnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Brandis Bannister reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Healthcare Group LLC

315 mi

Acute Care

2099 N MOUNT JULIET RD
Mount Juliet, TN 37122

Reassigned Medicare billing, Georgia enrollment
14 clinicians in this Medicare group

NPI 1407587363 (919) 429-1901

Old Mission Wound Care South Carolina LLC

814 mi

Specialist

1989 KROUPA RD
Traverse City, MI 49686

Reassigned Medicare billing, South Carolina enrollment
12 clinicians in this Medicare group

NPI 1699514067 (231) 260-4622

Guardian Biologics LLC

Reassigned Medicare billing, South Carolina enrollment
13 clinicians in this Medicare group

No phone listed

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 30906 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.

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

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%26 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

VERONICA BRADFORD APRN

Nurse Practitioner (Family)