Sidney Adele Brown-Caggiano, PA-C, MPAS

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

009055 Issued in GA

Practice address

4645 Timber Ridge Dr Ste 100
Douglasville, GA 30135-7542

Phone

(706) 223-1235

Fax

(706) 568-2705

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sidney Brown Caggiano Other name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of SC PCGroup PAC ID 4284864372, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.24 of 100Reported as group

Quality

80.28

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Dermatology of SC PC

  • Dermatology Physician
  • Spartanburg, SC
  • NPI 1255754008
  Medicare reassignment Care Compare group
• Kayal Dermatology & Skin Cancer Specialists

  • Specialist
  • Marietta, GA
  • NPI 1235358441
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1154890564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 TIMBER RIDGE DR STE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357542",
            "telephone_number": "706-223-1235",
            "fax_number": "706-568-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 TIMBER RIDGE DR STE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357542",
            "telephone_number": "706-223-1235",
            "fax_number": "706-568-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-CAGGIANO",
        "first_name": "SIDNEY",
        "middle_name": "ADELE",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "009055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "CAGGIANO",
            "middle_name": "BROWN",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Brockman, RBT
• Allan Brooks
• Bibi J Brooks, BSQP,QMHP,QSAP,CSAC-
• Blair Allen Broussard
• Kathy Brown-Bragg, MSW
• Vermelle L Brown-Hrobowski, DDS
• Tracy Brown-Lewis
• Carly Elizabeth Brown, RBT
• Cierra Brown, PTA
• Deborah Raphaella Brown

• Dermatology Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.

Verify at the official NPI Registry.