George W Brown IV, MD
Individual provider Active NPI Family Medicine Physician · Morrow, GA
NPI 1073519237 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1073519237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 030275 (GA)
- Practice address
- 1000 Corporate Center Dr
Ste 200
Morrow, GA 30260-4129 - Phone
- (770) 968-6464
- Fax
- (770) 968-6455
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
6002 Professional Pkwy
Douglasville, GA 30134-5627
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Wellstar Douglas Medical Center
- Piedmont Fayette Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090205000539 | GA | Practitioner - Family Practice | 5597829523 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030275 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Douglas Hospital, Inc. | Past | Accepting new patients |
Locations
303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1000 Corporate Center Dr
Ste 200
Morrow, GA 30260
Phone (770) 968-6464
Interoperability endpoints
- george.browniv.p52@direct.tenet.nextgenshare.com
- gbrown123238@directwellstar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 030275 | GA | Yes |
Addresses
Primary practice location
1000 Corporate Center Dr
Ste 200
Morrow, GA 30260-4129
Mailing address
1000 Corporate Center Dr
Ste 200
Morrow, GA 30260-4129
Phone (770) 968-6464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0358201 | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbrown123238@directwellstar.org |
Other providers in Morrow, GA
- Bolles Transportation
- Judith Suliy Bongadu-Walker
- Rana Botlani Esfahani
- Darrell Lawrence Brautigam
- Carl Braxton
- Jelani Brown
- Melissa Lucinda Brown
- Vuntressa M Brown
- Ebony Yohari Browne
- Diem My Thi Bui
All providers in Morrow, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. 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.