NPI
Breanna Portwood
NPI 1437851375
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2023-03-21
- Last updated
- 2025-10-19
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 191 John Godley Ln
- City
- Ellabell GA
- Postal code
- 31308-8076
- Phone
- (770) 870-0770
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Ellabell, GA. 25 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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