Individual provider Active NPI

Johnny Dewayne Brown, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1265463822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7280 Issued in GA
Practice address
923 Dill Ave SW
Atlanta, GA 30310-4145
Phone
(404) 753-3141
Fax
(404) 756-1070
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7280 GA Primary

Addresses

Primary practice location

923 Dill Ave SW
Atlanta, GA 30310-4145

Mailing address

923 Dill Ave SW
Atlanta, GA 30310-4145
Phone (404) 753-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000214 GA Practitioner - Chiropractic 2567475254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

923 Dill Ave
Atlanta, GA 30310-4145

923 Dill Ave SW
Atlanta, GA 30310-4145
Phone (404) 753-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7280GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sparlin Health Care, LLC Chiropractor CurrentSince Apr 1, 2007 Accepting new patients
Sparlin Healthcare Past Accepting new patients

Locations

923 Dill Ave SW
Atlanta, GA 30310
Phone (404) 753-3141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265463822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 DILL AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104145",
            "telephone_number": "404-753-3141",
            "fax_number": "404-756-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 DILL AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104145",
            "telephone_number": "404-753-3141",
            "fax_number": "404-756-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOHNNY",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "7280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.