Organization Active NPI

Nourish Mind and Body LLC

  • Psychiatry Physician
  • Milledgeville, GA
National Provider Identifier
1174460224
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NOURISH MIND AND BODY LLC
Practice address
1209 N Columbia Dr
Milledgeville, GA 31061-2395
Phone
(954) 993-6770
Fax
(478) 002-9376
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Sheldon Brown, MDNPI 1972985273
Title
Owner
Phone
(954) 993-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1209 N Columbia Dr
Milledgeville, GA 31061-2395

Mailing address

1209 N Columbia Dr
Milledgeville, GA 31061-2395
Phone (954) 993-6770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1174460224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "954-993-6770",
            "fax_number": "478-002-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "954-993-6770",
            "fax_number": "478-002-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-993-6770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.