CAMERON MIKELL BRANNEN (PT, DPT) – Physical Therapist, NPI 1366095812
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CAMERON MIKELL BRANNEN (PT, DPT)
6397 LEE HWY STE 300
CHATTANOOGA, TN 374214915
Phone: (423) 238-7217
Fax: (423) 238-3473
Type: Mailing
Rockbridge Road, Pine Lake, DeKalb County, Georgia, 30058, United States
STONE MTN, GA 300873006
Phone: (770) 925-9210
Fax: (770) 925-7989
Type: Location
2120 W Spring St Ste 1600
Monroe, GA 306553901
Phone: (678) 712-3686
Type: Location
6884 Hickory Flat Hwy
Woodstock, GA 301883229
Phone: (770) 704-8244
Fax: (770) 704-8264
Type: Location
3342 Trickum Rd Ste D
Woodstock, GA 301883679
Phone: (678) 501-5772
Fax: (678) 401-5425
Type: Location
1227 Rockbridge Rd Ste 402
Stone Mtn, GA 300873006
Phone: (770) 925-9210
Fax: (770) 925-7989
Type: Location
2120 W SPRING ST STE 1600
MONROE, GA 306553901
Phone: (678) 712-3686
Type: Location
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (866) 518-0283
Fax: (423) 238-3473
Type: Mailing
35 DEPOT ST
HARTWELL, GA 30643
Phone: (706) 842-2095
Fax: (706) 842-2515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191204001418 | I | Physical Therapist In Private Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Qualified Speech Language Pathologist | MI |
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