IndividualActive
Brandy Petty, M.S., ATC, LAT
NPI 1376764340 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Statesboro, GA
Provider details
- NPI number
- 1376764340
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.S., ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- AT001014 (GA)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense AT001014 (GA)
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Georgia Southern University Hanner Fieldhouse
Herty Drive
Statesboro, GA 30460-0001
Phone: (912) 486-7581
Fax: (912) 486-7690
Approximate (ZIP-level) locationGet directions
Mailing address
602 N Kevin Ct
Statesboro, GA 30461-2743
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.