Richelle Angela Gonzalez-Brown, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

070121 Issued in GA

Practice address

1200 Highway 74 S Ste 6-162
Peachtree City, GA 30269-3073

Phone

(678) 372-7732

Fax

(678) 372-7732

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1235450040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 74 S STE 6-162",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693073",
            "telephone_number": "678-372-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 74 S STE 6-162",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693073",
            "telephone_number": "678-372-7732",
            "fax_number": "678-372-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-BROWN",
        "first_name": "RICHELLE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "070121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137166B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137166C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160719",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Joseph Giovanelli, D.C.
• Joseph D Giovinco, DPM
• Nicholas Anthony Giovinco, DPM
• Gatlin Glover, DMD
• Gomed, LLC
• Shannon Gonzalez, L.AC
• Richard W Gorman, MD
• Grace Harbour, Inc
• Grace Harbour, Inc.
• Bridget Grady

• Pediatrics Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.