NPIMap

Individual provider Active NPI

Randall B Brown, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Macon, GA
National Provider Identifier
1124062831
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
031884 Issued in GA
Practice address
575 1St St
Macon, GA 31201-2825
Phone
(478) 743-9762
Fax
(478) 746-6612
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 031884 GA Primary

Addresses

Primary practice location

575 1St St
Macon, GA 31201-2825

Mailing address

575 1St St
Macon, GA 31201-2825
Phone (478) 743-9762

Other identifiers 3

IdentifierTypeStateIssuer
770002580OtherGARAILROAD
00638514BMedicaidGA
52484361OtherGABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622001088 GA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 2668373143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery
Education
Mercer University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanuel County Hospital AuthorityGroup PAC ID 3577473040, 40 clinicians

Practice addresses (Care Compare)

119 B Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 237-7676

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Vidalia, GA, CCN 117075
  • Pruitthealth Hospice-Swainsboro Hospice, Swainsboro, GA, CCN 111572
  • Emanuel Medical Center Hospital, Swainsboro, GA, CCN 110109

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Jul 21, 2014 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jul 21, 2014 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Emanuel County Hospital Authority CurrentSince Nov 1, 2024 Accepting new patients
Emanuel County Hospital Authority Current Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Emanuel County Hospital Authority Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Macon Cardiovascular Institute Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

305 Kite Rd
Swainsboro, GA 30401
Phone (478) 237-2144

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

131 Victory Dr
#C
Swainsboro, GA 30401

117 Kite Rd
Fl 2
Swainsboro, GA 30401
Phone (478) 289-1150

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

119A Victory Dr
Swainsboro, GA 30401
Phone (478) 237-8342

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • Direct secure messaging: randall.brown@emcsim.eclinicaldirectplus.com
  • Direct secure messaging: rbrown9187@sgmc.gadirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1352678400000",
    "number": "1124062831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012825",
            "telephone_number": "478-743-9762",
            "fax_number": "478-746-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012825",
            "telephone_number": "478-743-9762",
            "fax_number": "478-746-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDALL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "031884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "770002580",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00638514B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52484361",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.