Tamika Brown, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN016105 Issued in GA

Practice address

1001 N Peachtree Pkwy Ste a
Peachtree City, GA 30269-4210

Phone

(770) 268-9112

Fax

(770) 631-0023

NPI assigned

Jun 20, 2019

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peachtree City Dental Group, PC

  dba Peachtree Dental Group

  • General Practice Dentistry
  • Peachtree City, GA
  • NPI 1487030847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1073174017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N PEACHTREE PKWY STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694210",
            "telephone_number": "770-268-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N PEACHTREE PKWY STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694210",
            "telephone_number": "770-268-9112",
            "fax_number": "770-631-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr Dept General",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2205",
            "fax_number": "319-353-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAMIKA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN016105",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "APPLIED",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Hammonds Brown, LMSW
• Beverly Brown
• Elizabeth Rainey Brown, FNP
• George Brown Jr., D.M.D., M.S.D.
• Jabreeka Brown
• Tasha Brown
• Vanessa Mae Brozas, OTR
• Judy Ann Bruce, LPC
• Presley Bryan
• Kimberly Michelle Bryant, LCSW

• Dentist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.