BRUNSWICK MEDICAL LLC
NPI 1639959299
Clinic/Center - Primary Care in Brunswick, GA

Active since October 02, 2023CLIA 11D2293613 · Waiver
1111 GLYNCO PKWY STE 10, BRUNSWICK, GA 31525(912) 574-4313 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Oct 2, 2023 (2 updates tracked since 2023).

About Brunswick Medical Llc NPPES

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

BRUNSWICK MEDICAL LLC (NPI 1639959299) is a healthcare organization registered as a primary care in Brunswick, Georgia and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Jeuslyn Chandler, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639959299
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRUNSWICK MEDICAL LLC
Location Address1111 GLYNCO PKWY STE 10Brunswick, GA 31525-7930
Mailing Address1111 Glynco Pkwy, Building 1 Suite 10Brunswick, GA 31525-2726 · (912) 574-4313
Organization SubpartNo
Authorized OfficialJeuslyn ChandlerMedical Director · (305) 794-0970
Enumeration DateOctober 2, 2023
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
NPI 1639959299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1111 GLYNCO PKWY STE 10, Brunswick, GA 31525

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 Waiver 11D2293613

Brunswick Medical · Brunswick, GA
Active · expires Nov 12, 2027
CLIA Number11D2293613
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorJeuslyn Chandler
Laboratory Phone(912) 574-4313
Laboratory LocationBrunswick Medical1111 Glynco Parkway, Bldg 1, Suite 10, Brunswick, GA 31525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1111 GLYNCO PKWY STE 10
BRUNSWICK, GA 31525
Nurse Practitioner (Family)
1111 GLYNCO PKWY STE 10
BRUNSWICK, GA 31525

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 Brunswick Medical LLC's NPI number?

The NPI number for Brunswick Medical LLC is 1639959299. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Brunswick Medical LLC located?

Brunswick Medical LLC is located at 1111 Glynco Pkwy Ste 10, Brunswick, GA 31525. The listed phone number is (912) 574-4313.

What is Brunswick Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Brunswick Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2293613) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brunswick Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Brunswick Medical LLC 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 Brunswick Medical LLC was last updated on March 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.