MISS BRANDY ANNE PETTY (NPI# 1376764340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376764340 |
| Entity Type | Individual |
| Full Name | MISS BRANDY ANNE PETTY |
| Credential | M.S., ATC, LAT |
| Practice Address |
Georgia Southern University Hanner Fieldhouse Herty Drive Statesboro GA 30460-0001 |
| Mailing Address |
602 N Kevin Ct Statesboro GA 30461-2743 |
| Practice Telephone | 9124867581 |
| Practice Fax Number | 9124867690 |
| Mailing Telephone | 9124867581 |
| Mailing Fax Number | 9124867690 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT001014 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
GEORGIA SOUTHERN UNIVERSITY HANNER FIELDHOUSE HERTY DRIVE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30460-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 1699140855 | Amy Luna | Psychologist | 788 Forest Dr, Statesboro, GA 30460-0001 | 2015-12-14 |
| 1437559333 | Catherine Mcculley | Student in an Organized Health Care Education/Training Program | 590 Herty Dr, Statesboro, GA 30460-0001 | 2014-08-27 |
| 1851621080 | Shannon Kay Salter Fussell | Psychologist | Forest Dr, Counseling and Career Development Center, Statesboro, GA 30460-0001 | 2010-01-11 |
| 1255575890 | Georgia Southern University School of Nursing Community Nursing Center | Clinic/Center | 250 Forrest Dr, Rm# 1004, Statesboro, GA 30460-0001 | 2009-04-27 |
| 1194924449 | Thomas Andrew Buckley | Specialist/Technologist | Georgia Southern University, Health & Kinesiology, Statesboro, GA 30460-0001 | 2007-07-17 |
| 1831310721 | Brant Douglas Berkstresser | Specialist/Technologist | 50 Herty Dr, Hanner Fieldhouse, Georgia Southern University, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1518010230 | Constance E Morgan | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1720187602 | Forest Heights Phcy Inc | Pharmacy | Hlth Svcs Bldg, Watson Hall, Statesboro, GA 30460-0001 | 2006-09-21 |
| Find all providers in zip 30460 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872700 | Shaq S Hill-lofton | Physical Medicine & Rehabilitation | 6073 Magnolia Rdg, Stone Mountain, GA 30087-6068 | 2020-05-10 |
| 1861013773 | Amy Prall | Physical Medicine & Rehabilitation | 590 Cobb Ave Nw # 0201, Kennesaw, GA 30144-5563 | 2020-05-01 |
| 1912536145 | Christopher R. Sellars, Do, LLC | Physical Medicine & Rehabilitation | 4989 Peachtree Pkwy Ste 120, Peachtree Corners, GA 30092-2589 | 2020-04-08 |
| 1578194445 | Jakayla Campbell | Physical Medicine & Rehabilitation | 3096 Spring Hill Pkwy Se Apt F, Smyrna, GA 30080-4752 | 2020-01-30 |
| 1568003275 | Derek Charles Gaffey | Physical Medicine & Rehabilitation | 13025 Birmingham Hwy, Milton, GA 30004-7306 | 2019-10-03 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1184113342 | Jamie Townsend Young | Physical Medicine & Rehabilitation | 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144-7199 | 2018-05-03 |
| 1043724040 | Chesnee Miller | Physical Medicine & Rehabilitation | 2400 Gillionville Rd, Albany, GA 31707-3023 | 2017-11-29 |
| 1780006031 | Brandy Dodge | Physical Medicine & Rehabilitation | 4181 Hospital Dr Ne Ste 204, Covington, GA 30014-2541 | 2014-01-06 |
| 1972941839 | Beyond Rehabilitation PC | Physical Medicine & Rehabilitation | 1376 Lamont Dr Sw, Mableton, GA 30126-1182 | 2013-06-12 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30460 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.