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LORI BROGDON
NPI 1811719768
Nurse Practitioner - Family in Fitzgerald, GA

Active since October 30, 2024PECOS EnrolledAccepts Medicare Assignment
125 BENJAMIN H HILL DR SW, FITZGERALD, GA 31750(229) 635-4004(229) 389-2394 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lori Brogdon NPPES

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

LORI BROGDON (NPI 1811719768) is an individual family provider in Fitzgerald, Georgia, licensed in Georgia (RN195115) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Sgmc Berrien Campus, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811719768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI BROGDON
Location Address125 BENJAMIN H HILL DR SWFitzgerald, GA 31750-8606
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866 · (205) 545-5088
Phone(229) 635-4004
Fax(229) 389-2394
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1811719768 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 · RN195115
125 BENJAMIN H HILL DR SW, Fitzgerald, GA 31750
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Brogdon 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 ID2365978459
PECOS Enrollment IDI20241212002668
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.

Medicare Billing Reassignment

Medicare enrollment records show Lori Brogdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Urgent Care LLC
222 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Georgia enrollment
  • 157 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Sgmc Berrien Campus

Acute Care Hospitals · Nashville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110234
Location1221 E Mcpherson AvenueNashville, GA 31639 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31750 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.

LAQUINTA M MASON
Nurse Practitioner (Family)
125 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 635-4004
SUZANNE MARIE STONE
Nurse Practitioner (Family)
125 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 635-4004
MAEBRY PAULK
Nurse Practitioner (Family)
125 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 635-4004
MELANIE ADAMS WAYCHOFF APRN, FNP-BC
Nurse Practitioner (Family)
125 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 635-4004
HEATHER NICOLE THOMPSON FNP-C
Nurse Practitioner (Family)
125 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 635-4004

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 Lori Brogdon's NPI number?

The NPI number for Lori Brogdon is 1811719768. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Lori Brogdon located?

Lori Brogdon practices at 125 Benjamin H Hill Dr SW, Fitzgerald, GA 31750. The listed phone number is (229) 635-4004.

What is Lori Brogdon's specialty?

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

Is Lori Brogdon enrolled in Medicare?

Yes. Lori Brogdon 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.

Which organization bills Medicare for Lori Brogdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Brogdon reassigns Medicare benefits to Rural Urgent Care LLC (Centre, AL). The 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 Lori Brogdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lori Brogdon affiliated with any hospitals?

According to CMS data, Lori Brogdon is affiliated with Sgmc Berrien Campus.

When was this NPI record last updated?

The NPPES record for Lori Brogdon was last updated on October 30, 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.