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

Q: 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.

Q: What is Lori Brogdon's specialty?

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

Q: 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 21 months 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 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: August 16, 2026.

On this page

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 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, and ordering and referring status from the CMS PECOS system.

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.

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)