James E Brown Jr.
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tallahassee, FL
NPI 1013787985 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1013787985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11030380 (FL)
- Practice address
- 2709 Brecon LN
Tallahassee, FL 32303-2543 - Phone
- (850) 815-1102
- NPI assigned
- Jan 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Apalachee Center Inc
Practice addresses (Care Compare)
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3440
2634 Capital Circle NE
BLDG J
Tallahassee, FL 32308-4141
Phone (850) 523-3333
43 Oak St
Crawfordville, FL 32327-2090
Phone (850) 926-5900
79 La Salle Path
Quincy, FL 32351-5286
Phone (850) 875-2422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621003572 | FL | Practitioner - Nurse Practitioner | 1850834516 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11030380 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apalachee Center, Inc. | Current |
Accepting new patients | |
| Apalachee Center Inc | Current |
Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center, Inc. | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients |
Locations
43 Oak St
Crawfordville, FL 32327
Phone (850) 926-5900
1421 S Dixie Hwy
Perry, FL 32348
Phone (850) 584-5613
2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3440
2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11030380 | FL | Yes |
Addresses
Primary practice location
2709 Brecon LN
Tallahassee, FL 32303-2543
Mailing address
2709 Brecon LN
Tallahassee, FL 32303-2543
Other providers in Tallahassee, FL
- Darby Brown
- David Widlund Brown
- Derrielle Monet' Brown
- Elizabeth Hope Brown
- Ja'Mia Brown
- James G. Brown
- James Monroe Brown
- Jennifer A Brown
- Jennifer Barnidge Brown
- Jessica Mai Brown
All providers in Tallahassee, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.