BRUNSWICK MEDICAL LLC
NPI 1639959299
Clinic/Center - Primary Care in Brunswick, GA
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brunswick Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Brunswick Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Brunswick, GA 31525
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Brunswick Medical LLC enrolled in Medicare?
Yes. Brunswick Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brunswick Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Brunswick Medical LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
When was this NPI record last updated?
The NPPES record for Brunswick Medical LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Brunswick Medical Llc · NPI 1639959299
Primary Care organization in Brunswick, Georgia. Organization record, active in the CMS NPPES registry since October 2, 2023.
## Identity
- **NPI:** 1639959299 (Entity type: Organization)
- **Enumerated:** October 2, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jeuslyn Chandler, MEDICAL DIRECTOR
## Practice location
- **Address:** 1111 GLYNCO PKWY STE 10, Brunswick, GA 31525-7930
- **Phone:** (912) 574-4313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639959299) · Data from the CMS NPPES public registry.