Healthcare Provider Details

I. General information

NPI: 1013359918
Provider Name (Legal Business Name): BRITANNY DAWN CASTRO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 KING AVENUE STE 210
ATHENS GA
30606
US

IV. Provider business mailing address

2727 PACES FERRY ROAD SUITE 1-1100
ATLANTA GA
30339-6150
US

V. Phone/Fax

Practice location:
  • Phone: 706-475-1700
  • Fax:
Mailing address:
  • Phone: 470-271-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP198897
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN198897
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: