Active NPI
Kimberly S Brown, M.D.
- Neurological Surgery Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 045179
- Practice address
- 2622 Meredyth Dr
Albany, GA 31707-0206 - Phone
- (229) 432-9515
- Fax
- (229) 888-9520
- NPI assigned
- Aug 26, 2005
- Reactivated
- Apr 12, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 045179 | GA | Primary |
Addresses
Primary practice location
2622 Meredyth Dr
Albany, GA 31707-0206
Mailing address
2622 Meredyth Dr
Albany, GA 31707-0206
Phone (229) 432-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00791744A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Alabama School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Family Medicine,Coffee County | Current | Accepting new patients | |
| Neurosurgical Associates | Neurological Surgery | Current | Accepting new patients |
| Cooperative Healthcare Services Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
804 13th Ave
Albany, GA 31701
Phone (229) 291-2451
2622 Meredyth Dr
Albany, GA 31707
Phone (229) 312-0700
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
Interoperability endpoints
- kimberly.brown.1@8478.direct.athenahealth.com
- kimberly.brown@phoebehealth.gadirect.net
- https://api.platform.athenahealth.com/8478/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
dba Southeast Georgia Physician Associates
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
-
- Neurological Surgery Physician
- Albany, GA
- NPI 1649334376
-
- Clinic/Center
- Douglas, GA
- NPI 1477997278
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1205829009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 MEREDYTH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317070206",
"telephone_number": "229-432-9515",
"fax_number": "229-888-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 MEREDYTH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317070206",
"telephone_number": "229-432-9515",
"fax_number": "229-888-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2010-04-28",
"deactivation_date": "2006-03-27",
"reactivation_date": "2006-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "045179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00791744A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.