Keisha Brown, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

048985 Issued in GA

Practice address

4426 Hugh Howell Rd
Ste. B-332
Tucker, GA 30084-4918

Phone

(678) 522-6086

NPI assigned

Apr 10, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbrown815169@direct.ochin.org

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.

• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1588663421
  Medicare reassignment
• City to City Psychiatric Services

  • Psychiatry Physician
  • Tucker, GA
  • NPI 1003039215
  NPD (past) Authorized official
• Georgia Health Partners

  dba North Carolina Health Partners

  • Community/Behavioral Health Agency
  • Tucker, GA
  • NPI 1376780361
  NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1093938276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ROCKBRIDGE RD",
            "address_2": "STE. 4",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873138",
            "telephone_number": "678-522-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 HUGH HOWELL RD",
            "address_2": "STE. B-332",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844918",
            "telephone_number": "678-522-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "048985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832729777A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Gently Hargrove LLC
• Kyshia Brooks, LCAS/OWNER
• Dana Brown, SLP
• Diana Brown
• John Irvin Brown IV, DC
• Monjah Browne, MS, BCBA
• Browns Medical Center LLC
• Bruce R Penn Inc (Healing Transitions Counseling Center)
• Keith R Bruno, MD
• Nicole Fernandez Brunton

• Child & Adolescent Psychiatry Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.