Jeriel Constatine Brown, PMP, QP

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1800 Farmington Rd
Rocky Mount, NC 27801-3028

Phone

(252) 469-2223

NPI assigned

Jan 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Synergy Living Services LLC Dba Healthify Care LLC

  • In Home Supportive Care Agency
  • Rocky Mount, NC
  • NPI 1861218919
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1104687466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385502",
            "telephone_number": "252-469-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FARMINGTON RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278013028",
            "telephone_number": "252-469-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JERIEL",
        "middle_name": "CONSTATINE",
        "credential": "PMP, QP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN282083",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley B Browder, MD
• Alexis Nichole Brown, DDS
• Amanda Brown
• Artimus Brown, DMD
• Emily Brown, FNP
• Jessica Brown, LE, LE
• Karen B Brown, FNP-BC
• Monique Brown, MD
• Robert Michael Brown Sr., RPH
• Daphne Beauchamp Browne, L.P.T.

• Home Health Aide in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.