Russell E Brown, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

039743 Issued in GA

Practice address

4688 Trinity CT
Marietta, GA 30068-1671

Phone

(404) 316-4992

Fax

(770) 973-3587

NPI assigned

Jun 16, 2006

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of Behavioral Health and Developmental Disabilities

  dba Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307
  Medicare reassignment NPD
• Health Education, Assessment and Leadership, Inc

  dba The HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1831476399
  Medicare reassignment NPD
• Populations and Interventions Team Company

  • Health Psychologist
  • Douglasville, GA
  • NPI 1730608522
  Medicare reassignment NPD
• Holistic Behavioral Health Services of Louisiana

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1790236586
  Medicare reassignment NPD
• Avenia Behavioral Management, Inc

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1457395733
  NPD (past) Authorized official
• Department of Behavioral Health & Developmental Disabilities

  dba Georgial Regional Hospital at Savannah

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD
• Department of Behavioral Health & Developmental Disabilities, Ga

  dba Southwest Community Clinic

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD
• Uplift Recovery and Wellness Center Inc

  • Psychiatry Physician
  • Covington, GA
  • NPI 1770367641
  NPD
• Populations and Interventions Team Company

  • Clinical Psychologist
  • Anniston, AL
  • NPI 1528587367
  NPD
• Health Education Assessment and Leadership, Inc

  dba HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1700328309
  NPD (past)
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1194769257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 TRINITY CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681671",
            "telephone_number": "404-316-4992",
            "fax_number": "770-973-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 TRINITY CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681671",
            "telephone_number": "404-316-4992",
            "fax_number": "770-973-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RUSSELL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "039743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055003719A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "15-00149",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "13023578",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00683867B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Brown, L.P.C.
• Naimah Brown, RBT
• Patrice Brown, RBT
• Rebecca Brown
• Renee Bateman Brown, NP-C
• Sheree Elise Brown, M.D.
• Shivice Brown
• Shundria Brown, NP
• Stephanie Gale Brown, CPNP-PC, NNP-BC
• Sterling Brown, MD

• Psychiatry Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.