Individual provider Active NPI

Janese Adellis Brown, LCSW

  • Clinical Social Worker
  • Evans, GA
National Provider Identifier
1083370480
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008479 Issued in GA
Practice address
1202 Town Park LN Ste 300
Evans, GA 30809-3477
Phone
(706) 210-8855
Fax
(706) 432-8775
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008479 GA Primary

Addresses

Primary practice location

1202 Town Park LN Ste 300
Evans, GA 30809-3477

Mailing address

1202 Town Park LN Ste 300
Evans, GA 30809-3477
Phone (706) 210-8855

Other practice location 1

4039 Gateway Blvd
Grovetown, GA 30813-3389
Phone (706) 498-9570

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mygbhp.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228002270 GA Practitioner - Clinical Social Worker 8820489933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

4039 Gateway Blvd
Grovetown, GA 30813-3389
Phone (706) 498-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Nov 24, 2021 Accepting new patients
Resolution Counseling Professionals PastSince Nov 24, 2021 Accepting new patients

Locations

3633 Wheeler Rd
Ste 365
Augusta, GA 30909
Phone (706) 432-6866

1202 Town Park Ln
Ste 300
Evans, GA 30809
Phone (706) 210-8855

4039 Gateway Blvd
Grovetown, GA 30813
Phone (706) 498-9570

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1083370480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TOWN PARK LN STE 300",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093477",
            "telephone_number": "706-210-8855",
            "fax_number": "706-432-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TOWN PARK LN STE 300",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093477",
            "telephone_number": "706-210-8855",
            "fax_number": "706-432-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4039 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133389",
            "country_code": "US",
            "telephone_number": "706-498-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JANESE",
        "middle_name": "ADELLIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mygbhp.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3633 Wheeler Rd # 365",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.