Active NPI
Samuel Floyd Brown, M.D.
- Obstetrics & Gynecology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME162462
- Practice address
- 700 6TH St S FL 2
St Petersburg, FL 33701-4815 - Phone
- (727) 893-6198
- Fax
- (727) 893-6978
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 18575 | MS | |
| Obstetrics & Gynecology Physician | 207V00000X | ME162462 | FL | Primary |
Addresses
Primary practice location
700 6TH St S FL 2
St Petersburg, FL 33701-4815
Mailing address
700 6TH St S FL 2
St Petersburg, FL 33701-4815
Phone (727) 893-6198
Other practice location 1
1860 Chadwick Dr
Suite 300
Jackson, MS 39204-3463
Phone (601) 376-2999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118145500 | Medicaid | FL | |
| 02224073 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME162462 | FL | MD | Obstetrics & Gynecology Physician |
| 18575 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Och Professional Services | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Obhg Mississippi, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Vicksburg Healthcare LLC | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Vicksburg Healthcare LLC | Current | Accepting new patients | |
| River Oaks Hospital LLC | Past | Accepting new patients | |
| Jackson Hma LLC | Past | Accepting new patients | |
| South Central Regional Medical Center | Past | Accepting new patients | |
| Central Ms OBGYN Associates, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
5903 Ridgewood Rd
Ste 3000
Jackson, MS 39211
Phone (601) 899-3300
5903 Ridgewood Rd
Ste 300
Jackson, MS 39211
Phone (601) 899-3300
400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Networks
- LA PPO C-SNP
Interoperability endpoints
- sbrown@direct.mhg.com
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Multi-Specialty Clinic/Center
- Starkville, MS
- NPI 1225202666
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba River Region Health System
- Anesthesiology Physician
- Vicksburg, MS
- NPI 1629084058
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1891920526
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
dba University of Mississippi Medical Center-Grenada Specialty Clinic
- Family Medicine Physician
- Grenada, MS
- NPI 1932538527
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
-
dba Merit Health River Oaks
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1104810605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 6TH ST S FL 2",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014815",
"telephone_number": "727-893-6198",
"fax_number": "727-893-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 6TH ST S FL 2",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014815",
"telephone_number": "727-893-6198",
"fax_number": "727-893-6978"
}
],
"practiceLocations": [
{
"address_1": "1860 Chadwick Dr",
"address_2": "SUITE 300",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392043463",
"country_code": "US",
"telephone_number": "601-376-2999",
"fax_number": "601-376-2989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SAMUEL",
"middle_name": "FLOYD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "18575",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME162462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118145500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02224073",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.