Active NPI
Jorden Mackenzie Brown, CNM
- Advanced Practice Midwife
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN238931
- Practice address
- 81 Upper Riverdale Rd SW Ste 210
Riverdale, GA 30274-2627 - Phone
- (770) 996-1200
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN238931 | GA | Primary |
Addresses
Primary practice location
81 Upper Riverdale Rd SW Ste 210
Riverdale, GA 30274-2627
Mailing address
598 Piedmont Rd
Barnesville, GA 30204-3496
Phone (770) 570-7498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
619 S 8TH St
Griffin, GA 30224-4260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN238931 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Griffin OBGYN Clinic PA | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| My OBGYN PC | Past | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
503 S 8th St
Griffin, GA 30224
Phone (770) 227-5505
653 S 8th St
Griffin, GA 30224
Phone (770) 227-1075
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- https://api.platform.athenahealth.com/13935/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
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- NPI 1558664003
-
- Obstetrics & Gynecology Physician
- Griffin, GA
- NPI 1558415919
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Specialist
- Riverdale, GA
- NPI 1669534210
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1073228102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 PIEDMONT RD",
"city": "BARNESVILLE",
"state": "GA",
"postal_code": "302043496",
"telephone_number": "770-570-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 UPPER RIVERDALE RD SW STE 210",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742627",
"telephone_number": "770-996-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JORDEN",
"middle_name": "MACKENZIE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN238931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.