Individual provider Active NPI

Dustin Gary Brown, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1265106538
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
GAA-NP000747 Issued in GA
Practice address
2300 13TH St Apt a
Columbus, GA 31906-2182
Phone
(706) 243-7010
NPI assigned
Aug 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X GAA-NP000747 GA Primary
Family Nurse Practitioner 363LF0000X 1048979 TX

Addresses

Primary practice location

2300 13TH St Apt a
Columbus, GA 31906-2182

Mailing address

500 W Cartwright Rd Apt 825
Balch Springs, TX 75180-4844
Phone (469) 243-0035

Other practice location 1

500 W Cartwright Rd Apt 825
Balch Springs, TX 75180-4844
Phone (469) 243-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
GAA-NP000747GAMDNurse Practitioner
1048979TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1265106538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CARTWRIGHT RD APT 825",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751804844",
            "telephone_number": "469-243-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 13TH ST APT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062182",
            "telephone_number": "706-243-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Cartwright Rd Apt 825",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "751804844",
            "country_code": "US",
            "telephone_number": "469-243-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DUSTIN",
        "middle_name": "GARY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP000747",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.