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● Active Type 1 · Individual

Mrs. Brandie Ann Villanova, CPNP-PC

Pediatrics (Nurse Practitioner)·McDonough, GA· NPI 1003466483 · Enumerated 2019 · 7 years on NPI
Villanova is 1 of 10 pediatrics (nurse practitioner) providers in McDonough and 1 of 942 in Georgia.
NPI age
7 years
Enumerated 2019-09-17
Primary specialty
Pediatrics (Nurse Practitioner)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-17
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 942 active pediatrics (nurse practitioner) providers in Georgia.

NPI age
7 years
↓ 3 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2019 → 2019

2019-09Enumerated in NPPES
2019 2019

Where they practice

Practice location
130 Enterprise Pkwy
McDonough, GA 302539000
📞 6785839071
Mailing address
130 Enterprise Pkwy
McDonough, GA 302539000
📞 6785839071

Specialties

  • Nurse Practitioner Primary
    CMS NPPES uses NUCC taxonomy code 363LP0200X for provider records classified as Pediatrics within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
    GA license #RN215790 taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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