NPI age
13 years
Enumerated 2012-10-22
● Active Type 2 · Organization
Brannon Pediatric Services, Inc.
Brannon Pediatric Services, Inc. is 1 of 278 physical therapist organizations in Georgia.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brannon
Director/owner
Last NPPES update
2014-03-25
Source: monthly bulk 2026-05
How this organization compares
Across 278 active physical therapist providers in Georgia.
NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
634 Tommy Aaron Dr
Gainesville, GA 305061504
Mailing address
634 Tommy Aaron Dr
Gainesville, GA 305061504
Authorized official
Tammy C Brannon
Director/owner
📞 7705037337
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Tammy Brannon, MS,PT Physical Therapist NPI 1679639355
- Terrie Millard, PT, DPT, PCS Physical Therapist NPI 1811019326
- Courtney Modesitt, MS,OT Occupational Therapist NPI 1871817361
- Laura Pancake, MS,PT Physical Therapist NPI 1174645725
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1407055692 | |
| 05 (GA) | 1770653297 | |
| 05 (GA) | 1225346299 | |
| 05 (GA) | 1811019326 | |
| 05 (GA) | 1174645725 | |
| 05 (GA) | 1679639355 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.