Genesis Brown, M.ED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

105 Bryson Way
Warner Robins, GA 31088-2012

Phone

(404) 226-2888

NPI assigned

Sep 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Genesis Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Playground Children's Therapy, LLC

  • Speech-Language Pathologist
  • Warner Robins, GA
  • NPI 1295340776
  NPD
• Speechcenter LLC, D/B/a Sidekick Therapy Partners

  • Speech-Language Pathologist
  • Winston Salem, NC
  • NPI 1306840251
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1073915336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRYSON WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882012",
            "telephone_number": "404-226-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRYSON WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882012",
            "telephone_number": "404-226-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Smithville Church Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "31088",
            "country_code": "US",
            "telephone_number": "478-333-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031521",
            "country_code": "US",
            "telephone_number": "336-725-0222",
            "fax_number": "877-725-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GENESIS",
        "name_prefix": "Mrs.",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENESIS",
            "last_name": "JACKSON",
            "prefix": "MISS",
            "credential": "M.ED CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel B Brown, P.T.
• Anna Claire Brown
• Cicely Cheddar Brown
• Dennis Logan Brown
• Diamond Brown
• Gregory Shannon Brown, D.C.
• Janeen Brown
• Janelle Brown, APRN-CNP
• Joseph Brown
• Kehiona Obinna Brown, RN

• Speech-Language Pathologist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.