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

Mrs. Brandy Nichols Owens, PA

Individual provider Physician Assistant · NPI 1619128741

Mrs. Brandy Nichols Owens, PA is a Physician Assistant in Lagrange, Georgia. Qualified in 2008, 18 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1514 Vernon Rd
Lagrange, GA 30240
Phone: (706) 880-7222
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 705 Dixie St, Carrollton, GA 30117-3818 — (770) 836-9597
  • 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 — (770) 400-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005435 (GA)

Record details

NPI number1619128741
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 7, 2008
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lagrange