NPI age
2 years
Enumerated 2023-11-29
● Active Type 2 · Organization
Brandon Wilde Llc
Brandon Wilde Llc is 1 of 794 skilled nursing facility organizations in Georgia.
Primary specialty
Skilled Nursing Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Victor
SR. Vp And Treasurer
Last NPPES update
2023-11-29
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
2 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 5% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
4275 Owens Rd
Evans, GA 308093066
Mailing address
4275 Owens Rd
Evans, GA 308093066
Authorized official
Jason C. Victor
SR. Vp And Treasurer
📞 5158754619
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Virgil Hardin General Practice NPI 1992039283
- Bryn McElroy Speech-Language Pathologist NPI 1952075194
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
-
Assisted Living FacilityA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Pavilion at Brandon Wilde
Practice context
Multi-provider organization. 2 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.