Individual provider Active NPI

Ronnie Keith Brown, NP

  • Nurse Practitioner
  • Carthage, MS
National Provider Identifier
1104860907
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R805591 Issued in MS
Practice address
1100 Highway 16 E
Carthage, MS 39051
Phone
(601) 253-0173
Fax
(601) 346-2352
NPI assigned
Jun 15, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R805591 MS Primary

Addresses

Primary practice location

1100 Highway 16 E
Carthage, MS 39051

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-1312

Other practice location 2

110 Park St
Walnut Grove, MS 39189-6526
Phone (601) 253-0173

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411001065 MS Practitioner - Nurse Practitioner 8527005669 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMC - Attala, LLC CurrentSince Apr 1, 2022 Accepting new patients
Medical Foundation of Central Ms CurrentSince Dec 3, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 10, 2012 Accepting new patients
Baptist Medical Center-Leake, Inc. CurrentSince Sep 1, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 10, 2012 Accepting new patients
Baptist Medical Center-Leake, Inc Current Accepting new patients
Baptist Medical Center-Leake, Inc CurrentSince Sep 1, 2015 Accepting new patients
Claiborne County Hospital CurrentSince Jun 1, 2013 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Dec 3, 2021 Accepting new patients
Emergency Medicine Associates of Jackson Past Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients
University Surgery Associates, PLLC Past Accepting new patients
Mississippi Em-I Medical Services PC Nurse Practitioner Past Accepting new patients
Sterling Emergency Services of Mississippi, Inc Nurse Practitioner Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: rbrown148903@direct.bmhcc.org
  • Direct secure messaging: rbrown5878@ummc.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1104860907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "39051",
            "telephone_number": "601-253-0173",
            "fax_number": "601-346-2352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-1312",
            "fax_number": "601-815-1132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park St",
            "address_purpose": "LOCATION",
            "city": "Walnut Grove",
            "state": "MS",
            "postal_code": "391896526",
            "country_code": "US",
            "telephone_number": "601-253-0173",
            "fax_number": "601-253-0176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RONNIE",
        "middle_name": "KEITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R805591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.