Ronnie Keith Brown, NP
Individual provider Active NPI Nurse Practitioner · Carthage, MS
NPI 1104860907 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1104860907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R805591 (MS)
- Practice address
- 1100 Highway 16 E
Carthage, MS 39051 - Phone
- (601) 253-0173
- Fax
- (601) 346-2352
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Medical Center-Leake, Inc.
Practice addresses (Care Compare)
1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1470
Hospital & facility affiliations
- Baptist Medical Center-Leake
- Mississippi Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411001065 | MS | Practitioner - Nurse Practitioner | 8527005669 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
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
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
1815 Hospital Dr
Jackson, MS 39204
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
- rbrown148903@direct.bmhcc.org
- rbrown5878@ummc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R805591 | MS | Yes |
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
Other providers in Carthage, MS
- Gary Paul Beckham
- Behavioral Solutions of Mississippi, LLC.
- Shelby Lynne Bell
- Ketreuna Bingham
- Alandra M Brooks
- Jonathan J Bruno
- Jonathan Malone Buchanan
- Robin Chipley Cain
- Yvonne Danae Camper
- Pedro Luis Cancio
All providers in Carthage, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.