Active NPI
Taiwanna Granae Brown-Bolds, M.D.
- Internal Medicine Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 046047
- Practice address
- 123 Three Rivers Dr NE
Rome, GA 30161-2300 - Phone
- (706) 295-3961
- NPI assigned
- Oct 4, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 046047 | GA | Primary |
Addresses
Primary practice location
123 Three Rivers Dr NE
Rome, GA 30161-2300
Mailing address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000
Other practice location 1
1301 Well Brook Circle
Conyers, GA 30012-3873
Phone (770) 922-3023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00838142A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbrownbolds914761@CarolinasHealthcareSystem.direct-ci.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Morehouse School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212
123 Three Rivers Nedr
Rome, GA 30161-2300
Phone (706) 295-3961
Hospital & facility affiliations
- Coosa Valley Home Health, an Amedisys
- Adoration Home Health
- Atrium Health Floyd Medical Center
- Adventhealth Redmond
- Floyd Cherokee Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.9 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046047 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates of Rockdale PC | Internal Medicine | Current | Accepting new patients |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Internal Medicine | Current | Accepting new patients |
| Internal Medicine & Wellness Center of Ga LLC | Internal Medicine | Current | Accepting new patients |
| Brown Family Health Center LLC | Past | Accepting new patients |
Locations
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
1301 Wellbrook Cir NE
Conyers, GA 30012
Phone (404) 922-3023
123 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 295-3961
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
4 Savannah St
Winder, GA 30680
Phone (770) 586-0017
Interoperability endpoints
- tbrownbolds914761@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
dba Atrium Health Floyd Primary Care
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
Internal Medicine
-
- Internal Medicine Physician
- Winder, GA
- NPI 1700171485
-
dba Atrium Health Floyd Specialty Pharmacy
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
- Internal Medicine Physician
- Conyers, GA
- NPI 1013092154
-
- Primary Care Clinic/Center
- Winder, GA
- NPI 1932374352
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coosa Valley Home Health, an Amedisys Company
- Home Health Agency
- Rome, GA
- NPI 1285682955
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
-
dba Atrium Health Floyd Cherokee Medical Center
- General Acute Care Hospital
- Centre, AL
- NPI 1962999664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104911817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 2ND AVE STE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613210",
"telephone_number": "706-509-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 THREE RIVERS DR NE",
"city": "ROME",
"state": "GA",
"postal_code": "301612300",
"telephone_number": "706-295-3961"
}
],
"practiceLocations": [
{
"address_1": "1301 Well Brook Circle",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300123873",
"country_code": "US",
"telephone_number": "770-922-3023",
"fax_number": "770-929-1016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN-BOLDS",
"first_name": "TAIWANNA",
"middle_name": "GRANAE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "046047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00838142A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbrownbolds914761@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "N",
"address_1": "123 Three Rivers Dr NE",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "301612300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.