Individual provider Active NPI

Dana Nicole Brown, D.O.

  • Family Medicine Physician
  • Connelly Springs, NC
National Provider Identifier
1073907192
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018-00653 Issued in NC
Practice address
560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone
(828) 874-2061
Fax
(888) 232-8525
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018-00653 NC Primary

Addresses

Primary practice location

560 Malcolm Blvd
Connelly Springs, NC 28612-7918

Mailing address

PO Box 1490
Boone, NC 28607-1490
Phone (828) 262-3886

Other practice location 1

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

Other practice location 2

301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone (828) 608-0800

Other practice location 3

110 Dutchman Ct
Elkin, NC 28621-2237
Phone (336) 835-7337

Other practice location 4

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311

Other practice location 5

448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221

Other names 1

  • Dana Nicole Small Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106002725 NC Practitioner - Family Practice 7214244854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Country Community HealthGroup PAC ID 8628225190, 34 clinicians

Practice addresses (Care Compare)

560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Atrium Health at Home Blue Ridge Home health agency, Morganton, NC, CCN 347181
  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075
  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Community Health CurrentSince Dec 17, 2023 Accepting new patients
High Country Community Health CurrentSince Dec 17, 2023 Accepting new patients

Locations

935 State Farm Rd
Boone, NC 28607
Phone (828) 262-3886

240 Highway 105 Ext
Ste 100
Boone, NC 28607
Phone (828) 264-7311

560 Malcolm Blvd
Connelly Springs, NC 28612
Phone (828) 437-7702

110 Dutchman Ct
Elkin, NC 28621
Phone (336) 835-5330

301 E Meeting St
Ste 101
Morganton, NC 28655
Phone (828) 608-0800

448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1073907192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MALCOLM BLVD",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286127918",
            "telephone_number": "828-874-2061",
            "fax_number": "888-232-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074948",
            "country_code": "US",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Meeting St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553594",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "fax_number": "828-528-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Dutchman Ct",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212237",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Highway 105 Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "828-264-7311",
            "fax_number": "828-264-7907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Cranberry St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578800",
            "country_code": "US",
            "telephone_number": "828-737-0221",
            "fax_number": "828-737-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-00653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "SMALL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Connelly Springs, NC

Sources for this page

Verify at the official NPI Registry.