NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brandon Wilde LLC

Skilled Nursing Facility in Evans, GA · enumerated 2023 · authorized official Jason Victor, Sr. Vp and Treasurer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780450924

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Brandon Wilde LLC
Practice address 4275 Owens Rd, Evans, GA, 30809
Phone (706) 868-3568
Fax (706) 868-3525
Enumeration date Nov 29, 2023
Last updated in NPPES Nov 29, 2023

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jason Victor
Title Sr. Vp and Treasurer
Phone (515) 875-4619

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Brandon Wilde LLC?
The NPI for Brandon Wilde LLC is 1780450924, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Brandon Wilde LLC?
NPPES lists Jason Victor (Sr. Vp and Treasurer) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-29.