Individual provider Active NPI

Kimberly S Brown, M.D.

  • Neurological Surgery Physician
  • Albany, GA
National Provider Identifier
1205829009
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
045179 Issued in GA
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

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00791744AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000814 GA Practitioner - NeurosurgeryPractitioner - Neurology 3577516954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Neurology
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
Phoebe Family Medicine,Coffee County CurrentSince Sep 1, 2010 Accepting new patients
Neurosurgical Associates Neurological Surgery CurrentSince May 5, 2000 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Jun 13, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2010 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

  • Direct secure messaging: kimberly.brown.1@8478.direct.athenahealth.com
  • Direct secure messaging: kimberly.brown@phoebehealth.gadirect.net
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.