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AVERA MEDICAL GROUP MCGREEVY BRANDON
NPI 1285701870
Family Medicine in Brandon, SD

Active since November 29, 2006CLIA 43D0406754 · Accreditation
1101 E HOLLY BLVD, BRANDON, SD 57005(605) 582-3853(605) 582-3855 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avera Medical Group Mcgreevy Brandon NPPES

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

AVERA MEDICAL GROUP MCGREEVY BRANDON (NPI 1285701870) is a healthcare organization registered as a family medicine in Brandon, South Dakota and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through March 19, 2027 and lists Julie N Norton, Sr Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1285701870
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA MCKENNAN
Location Address1101 E HOLLY BLVDBrandon, SD 57005-1426
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Phone(605) 582-3853
Fax(605) 582-3855
Organization SubpartNo
Authorized OfficialJulie N NortonSr Vice President Of Finance · (605) 322-7818
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 10, 2012
✔ NPI 1285701870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
1101 E HOLLY BLVD, Brandon, SD 57005
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Other Names 1

Doing Business AsAvera Medical Group Mcgreevy Brandon

Other Identifiers 4

Medicare ID-Type UnspecifiedS100716SD
Medicare NSC1202730024SD
Medicaid0716829IA
Medicare ID-Type UnspecifiedDE2294SD · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0406754

Avera Medical Group Mcgreevy Brandon · Brandon, SD
Active · expires Mar 19, 2027
CLIA Number43D0406754
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorDr. Michelle J. Bleile
Laboratory Phone(605) 504-5204
Laboratory LocationAvera Medical Group Mcgreevy Brandon1101 East Holly Blvd, Brandon, SD 57005
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

RICHARD BRIGGS M.D.
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
MICHELLE MCELROY M.D.
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
TAYLOR POTTS DO
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
DR. SAMUEL MAX ZOLLICKER M.D.
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
ANN J BOSSMAN FNP-BC
Nurse Practitioner (Family)
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853

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 Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1285701870. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Avera Medical Group Mcgreevy Brandon.

Where is Avera Mckennan located?

Avera Mckennan is located at 1101 E Holly Blvd, Brandon, SD 57005. The listed phone number is (605) 582-3853.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Avera Mckennan hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D0406754) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera Mckennan accept?

Health plans from Medica list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.