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BRC MEDHEALTH LLC
NPI 1750120945
Nurse Practitioner - Family in Fayetteville, GA

Active since May 20, 2024
110 NORTH PARK DRIVE, FAYETTEVILLE, GA 30214(470) 301-4563(678) 379-0928 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brc Medhealth Llc NPPES

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

BRC MEDHEALTH LLC (NPI 1750120945) is a healthcare organization registered as a family in Fayetteville, Georgia and active in the NPI registry since May 2024. The organization lists Barbara Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1750120945
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBRC MEDHEALTH LLC
Location Address110 NORTH PARK DRIVEFayetteville, GA 30214
Mailing Address1415 Highway 85 N Ste 108Fayetteville, GA 30214-7738 · (470) 301-4563 · Fax (678) 379-0928
Phone(470) 301-4563
Fax(678) 379-0928
Organization SubpartNo
Authorized OfficialBarbara ClarkOwner · (470) 301-4563
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1750120945 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
110 NORTH PARK DRIVE, Fayetteville, GA 30214
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Other Names 1

Other NameBrc Medhealth Llc

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

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 Brc Medhealth LLC's NPI number?

The NPI number for Brc Medhealth LLC is 1750120945. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Brc Medhealth LLC located?

Brc Medhealth LLC is located at 110 North Park Drive, Fayetteville, GA 30214. The listed phone number is (470) 301-4563.

What is Brc Medhealth LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brc Medhealth LLC was last updated on May 20, 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.