Individual provider Active NPI

Jade Brown

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1215727920
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN233779 Issued in GA
Practice address
5 Concourse Pkwy
Atlanta, GA 30328-5350
Phone
(855) 492-7642
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN233779 GA Primary

Addresses

Primary practice location

5 Concourse Pkwy
Atlanta, GA 30328-5350

Mailing address

345 Lovelle Dr
McDonough, GA 30253-8356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260530000121 IA Practitioner - Nurse Practitioner 6002317179 Reassigns benefits to 1 organization
I20260601000827 GA Practitioner - Nurse Practitioner 6002317179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1033 Redhead CT
Stockbridge, GA 30281-4473

1800 Phoenix Blvd
Atlanta, GA 30349-5553

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Health & Wellness Family CurrentSince Apr 15, 2026 Accepting new patients

Locations

1800 Phoenix Blvd
#12824
Atlanta, GA 30349
Phone (401) 684-1267

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1215727920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LOVELLE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CONCOURSE PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285350",
            "telephone_number": "855-492-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN233779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.