MR. BRENTON BURRELL
NPI 1407693807
Nurse Practitioner - Family in Greensboro, GA

Q: What is Brenton Burrell's NPI number?

The NPI number for Brenton Burrell is 1407693807. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Q: What is Brenton Burrell'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 Brenton Burrell was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2024PECOS EnrolledAccepts Medicare Assignment

5401 LAKE OCONEE PKWY, GREENSBORO, GA 30642(706) 201-7726 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Jul 11, 2024 (2 updates tracked since 2024).

On this page

About Mr. Brenton Burrell NPPES

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

MR. BRENTON BURRELL (NPI 1407693807) is an individual family provider in Greensboro, Georgia, licensed in Georgia (RN294310) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with St. Mary's Good Samaritan Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407693807

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BRENTON BURRELL

Location Address5401 LAKE OCONEE PKWYGreensboro, GA 30642-4232

Mailing Address106 Chandler DrEatonton, GA 31024-6140 · (706) 201-7726

Phone(706) 201-7726

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 11, 2024

Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1407693807 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 · RN294310

5401 LAKE OCONEE PKWY, Greensboro, GA 30642

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 and accepts Medicare assignment

Mr. Brenton Burrell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486188679

PECOS Enrollment IDI20241111002133

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

89 services87 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

27 services27 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

25 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number111329

Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 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 5

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

ATHENS CLARKE MEDICAL ENTERPRISES LLC

Emergency Medicine