James Lewis Brown Jr., M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Demorest, GA
NPI 1174688121 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1174688121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 21652 (GA)
- Practice address
- 800 Austin Dr
Demorest, GA 30535-4508 - Phone
- (706) 839-4092
- Fax
- (706) 839-1970
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21652 | GA | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital Authority of Habersham County | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current |
Accepting new patients |
| The Hospital Authority of Habersham County | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current |
Accepting new patients |
| Southeast Medical Group, P.C. | Current |
Accepting new patients | |
| Athens Heart Center, PC | Pain Medicine | Current |
Accepting new patients |
Locations
3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111
2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632
1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
638 441 Historic Hwy N
Ste B
Demorest, GA 30535
Phone (706) 754-8339
800 Austin Dr
Demorest, GA 30535
Phone (706) 839-4092
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
930 Franklin Springs St
Royston, GA 30662
Phone (706) 246-9729
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/DIJIBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021652 | GA | |
| Primary Care Clinic/Center | 261QP2300X | 21652 | GA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 21652 | GA | Yes |
Addresses
Primary practice location
800 Austin Dr
Demorest, GA 30535-4508
Mailing address
PO Box 657
Demorest, GA 30535-0657
Phone (706) 839-4092
Other practice location 1
638 Historic Hwy 441 N
Suite B
Demorest, GA 30535-3053
Phone (706) 839-4092
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G15451A | Other | GA | MEDICARE PTAN |
Other providers in Demorest, GA
- Brian Hoffmann MD PC
- Emily Brock
- Donna Sue Brooks
- Ileynaret Michelle Brooks
- Lori Brown Pressley
- Reagan Amanda Burge
- Owen Curtis Byers
- Caring Angels in Home Health Services
- Celina Dawn Carruth
- Hallie Dawn Carter
All providers in Demorest, GA · Geriatric Medicine (Internal Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.