Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brenton Burrell

Individual provider Family Nurse Practitioner · NPI 1407693807

Mr. Brenton Burrell is a Nurse Practitioner in Greensboro, Georgia. Qualified in 2024, 2 years ago. Practices with Athens Clarke Medical Enterprises LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024

Practice location Address checks out

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone: (706) 201-7726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN294310 (GA)

Record details

NPI number1407693807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address106 Chandler Dr, Eatonton, GA 31024-6140

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Athens Clarke Medical Enterprises Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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