Individual provider Active NPI

Alexis Brown, NP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1245918465
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN306821 Issued in GA
Practice address
7675 Mission Valley Rd
San Diego, CA 92108-4429
Phone
(215) 779-5591
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 RN306821 GA Primary

Addresses

Primary practice location

7675 Mission Valley Rd
San Diego, CA 92108-4429

Mailing address

7675 Mission Valley Rd
San Diego, CA 92108-4429
Phone (215) 779-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN2 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
I20230808001911 GA Practitioner - Nurse Practitioner 9436511441 Reassigns benefits to 2 organizations
I20250718002505 IN Practitioner - Nurse Practitioner 9436511441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe Healthcare LLCGroup PAC ID 8123375474, 12 clinicians
Informe Healthcare in LLCGroup PAC ID 9537407770, 14 clinicians

Practice addresses (Care Compare)

1121 E Lasalle Ave
South Bend, IN 46617-3321
Phone (574) 287-6501

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN306821GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Sep 16, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 16, 2024 Accepting new patients
Informe Healthcare in, LLC CurrentSince Jun 21, 2025 Accepting new patients
Tanner Medical Group Inc CurrentSince Aug 21, 2023 Accepting new patients
Informe Healthcare LLC Family CurrentSince Jun 21, 2025 Accepting new patients
Carrollton Surgical Group, P. a. PastSince Aug 21, 2023 Accepting new patients
Informe Healthcare TN, LLC Past Accepting new patients

Locations

3896 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 489-4444

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

706 Dixie St
Ste 320
Carrollton, GA 30117
Phone (770) 812-9326

705 Dallas Hwy
Ste 101
Villa Rica, GA 30180
Phone (770) 456-4411

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2607

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

1121 E Lasalle Ave
South Bend, IN 46617
Phone (574) 287-6501

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Organizations & group practices 7

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 1

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1245918465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 MISSION VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084429",
            "telephone_number": "215-779-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 MISSION VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084429",
            "telephone_number": "215-779-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXIS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN306821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.