LEE BRIAN BRANDT JR. PA
NPI 1609840511
Physician Assistant - Medical in Acworth, GA

Q: What is Lee Brandt's NPI number?

The NPI number for Lee Brandt is 1609840511. It was assigned to this individual provider in the NPPES registry on February 15, 2006. The provider is also known as Lee Brian Brandt Pa-C.

Q: What is Lee Brandt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lee Brandt was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 15, 2006PECOS EnrolledAccepts Medicare Assignment

4900 IVEY RD NW, SUITE 1826, ACWORTH, GA 30101(770) 975-9077(770) 790-4964 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lee Brian Brandt Jr. Pa NPPES

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

LEE BRIAN BRANDT JR. PA (NPI 1609840511) is an individual medical provider in Acworth, Georgia, licensed in Georgia (003438) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1609840511

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameLEE BRIAN BRANDT JR.Credential: PA

Location Address4900 IVEY RD NW, SUITE 1826Acworth, GA 30101-4001

Mailing Address5665 New Northside Dr, Suite 320Atlanta, GA 30328-5831 · (404) 645-7564

Phone(770) 975-9077

Fax(770) 790-4964

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1999

Enumeration DateFebruary 15, 2006

Last NPPES UpdateApril 23, 2015

✔ NPI 1609840511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 003438

4900 IVEY RD NW, Acworth, GA 30101

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Other Names 1

Other Name (5)Lee Brian Brandt Pa-c

Other Identifiers 5

Medicaid100000704DGA

Medicaid100000704EGA

Medicare UPINP08134

Medicare ID-Type Unspecified97WCDSVGA

Medicaid100000704CGA

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

Lee Brian Brandt Jr. Pa 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 ID7315960721

PECOS Enrollment IDI20060112000046

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.

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Other Providers at the Same Location NPPES 14

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

BRIANNA COLEMAN OTR/L

Occupational Therapist

4900 IVEY RD NW
ACWORTH, GA 30101

Cobb County (770) 917-5737

MOLLIE ARCHER DPT

Physical Therapist

4900 IVEY RD NW, BUILDING 1000 SUITE 1001
ACWORTH, GA 30101

Cobb County (770) 917-0924

JOHN N MURIMI MD

Family Medicine

4900 IVEY RD NW, SUITE 1301
ACWORTH, GA 30101

Cobb County (770) 974-4655

GOVERNORS FAMIILY MEDICAL GROUP, LLC

Family Medicine

4900 IVEY RD NW, SUITE 1826
ACWORTH, GA 30101

Cobb County (770) 975-9077

AMIRA SHAFEY

Family Medicine

4900 IVEY RD NW
ACWORTH, GA 30101

Cobb County (770) 975-9077

MRS. WILMA BLAKE FAULKNER L.AC., DIPL O.M.

Acupuncturist

4900 IVEY RD NW, SUITE 820
ACWORTH, GA 30101

Cobb County (770) 975-9233

WELLSTAR MEDICAL GROUP, LLC

Family Medicine

4900 IVEY RD NW, SUITE 1301
ACWORTH, GA 30101

Cobb County (770) 975-9077

TYE MARR PT

Physical Therapist

4900 IVEY RD NW, SUITE 1001
ACWORTH, GA 30101

Cobb County (770) 917-0924

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 Lee Brandt's NPI number?

The NPI number for Lee Brandt is 1609840511. It was assigned to this individual provider in the NPPES registry on February 15, 2006. The provider is also known as Lee Brian Brandt Pa-C.

Where is Lee Brandt located?

Lee Brandt practices at 4900 Ivey Rd NW Suite 1826, Acworth, GA 30101. The listed phone number is (770) 975-9077.

What is Lee Brandt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lee Brandt enrolled in Medicare?

Yes. Lee Brandt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lee Brandt was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.