Brandon Wilde LLC
NPI 1780450924 · Skilled Nursing Facility · Evans, GA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brandon Wilde LLC is a Skilled Nursing Facility organization in Evans, GA (NPI 1780450924).
Provider details
- NPI number
- 1780450924
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Victor, Sr. Vp and Treasurer(515) 875-4619
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Pavilion at Brandon Wilde
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Brandon Wilde LLC's NPI number?
- Brandon Wilde LLC's National Provider Identifier (NPI) is 1780450924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brandon Wilde LLC?
- Brandon Wilde LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Brandon Wilde LLC located?
- Brandon Wilde LLC's practice location on file with NPPES is 4275 Owens Rd, Evans, GA 30809-3066.
- What is Brandon Wilde LLC's phone number?
- The practice phone number listed in the NPPES registry for Brandon Wilde LLC is (706) 868-3568.
- Does Brandon Wilde LLC accept Medicare?
- Brandon Wilde LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brandon Wilde LLC?
- The authorized official listed on Brandon Wilde LLC's NPPES record is Jason Victor, Sr. Vp and Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brandon Wilde LLC's NPI active?
- Yes — Brandon Wilde LLC's NPI (1780450924) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.