Active NPI
Melody Kim Brown, RN
- Community Health Registered Nurse
- Ft Gordon, GA
National Provider Identifier
1124291182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN136997
- Practice address
- 29605 Barnes Ave
Ft Gordon, GA 30905-5650 - Phone
- (706) 787-6756
- Fax
- (706) 787-7458
- NPI assigned
- Apr 10, 2008
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN136997 | GA | Primary |
Addresses
Primary practice location
29605 Barnes Ave
Ft Gordon, GA 30905-5650
Mailing address
29605 Barnes Ave
Ft Gordon, GA 30905-5650
Phone (706) 787-6756
Other names 1
- Ms. Melody Kim Gorman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN136997 | GA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1124291182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29605 BARNES AVE",
"city": "FT GORDON",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-6756",
"fax_number": "706-787-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29605 BARNES AVE",
"city": "FT GORDON",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-6756",
"fax_number": "706-787-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MELODY",
"middle_name": "KIM",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN136997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "GORMAN",
"middle_name": "KIM",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ft Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.