OrganizationActive
Medprime Brookhaven
NPI 1205288164 · Preferred Provider Organization · Atlanta, GA
Provider details
- NPI number
- 1205288164
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sherwin Bryant, Compliance Officer(678) 691-8239
- License
- 61430 (GA)
Specialties & taxonomies
Managed Care Organizations
Practice location
2 Concourse Pkwy
Suite 100
Atlanta, GA 30328-5371
Phone: (678) 691-8239
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Peachtree St Ne
Atlanta, GA 30309-4501
Registry dates
- Enumerated
- 2016-07-04
- Last updated
- 2016-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.