Healthcare Provider Details

I. General information

NPI: 1124292800
Provider Name (Legal Business Name): BRANDI JOUETT PATRICKSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDI NICHOLE JOUETT MD

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW SUITE 635
ATLANTA GA
30309-1613
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 204
HACKENSACK NJ
07601-6211
US

V. Phone/Fax

Practice location:
  • Phone: 404-367-3014
  • Fax: 404-351-5983
Mailing address:
  • Phone: 551-295-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number65446
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number065446
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04-50269
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: