Individual provider Active NPI

Carylann Davidson Brown, RPA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1245881382
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024138 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-8600
Fax
(518) 525-6545
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024138 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

156 Quaker Rd
Queensbury, NY 12804-1718
Phone (518) 458-2000

Other practice location 2

1739 Route 9
Halfmoon, NY 12065-2420
Phone (518) 458-2000

Other practice location 3

2 New Hampshire Ave Ste 200
Troy, NY 12180-1762
Phone (518) 458-2000

Other practice location 4

6 Care Ln
Saratoga Springs, NY 12866-8651
Phone (518) 587-7625

Other practice location 5

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 525-8600

Other practice location 6

2 Palisades Dr
Albany, NY 12205-1438
Phone (518) 458-2000

Other names 1

  • Carylann Hedderman Geddes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200422002424 NY Practitioner - Physician Assistant 1254761844 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 S Manning Blvd
Albany, NY 12208-1707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024138NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Hospital of the City of Albany Physician Assistant CurrentSince Jan 6, 2025 Accepting new patients
Samaritan Hospital of Troy, New York Physician Assistant CurrentSince Jan 6, 2025 Accepting new patients
St. Peter'S Hospital of the City of Albany Physician Assistant CurrentSince Jan 6, 2025 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant CurrentSince Oct 11, 2021 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant Past Accepting new patients

Locations

2 Palisades Dr
Albany, NY 12205

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

156 Quaker Rd
Queensbury, NY 12804
Phone (518) 793-9063

6 Care Ln
Saratoga Springs, NY 12866
Phone (518) 581-1415

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2 New Hampshire Ave
Ste 200
Troy, NY 12180
Phone (518) 274-1947

Interoperability endpoints

  • Direct secure messaging: cheddermangeddes1360664@direct.trinity-health.org

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1245881382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-8600",
            "fax_number": "518-525-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Quaker Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041718",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1739 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652420",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 New Hampshire Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801762",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Care Ln",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128668651",
            "country_code": "US",
            "telephone_number": "518-587-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-525-8600",
            "fax_number": "518-271-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Palisades Dr",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051438",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CARYLANN",
        "middle_name": "DAVIDSON",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARYLANN",
            "last_name": "HEDDERMAN GEDDES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.