Individual provider Active NPI

Matthew R Brown, MD

  • Infectious Disease Physician
  • Valdosta, GA
National Provider Identifier
1275916827
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
84036 Issued in GA
Practice address
2501 N Patterson St
Valdosta, GA 31602-1735
Phone
(410) 350-3565
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 84036 GA Primary

Addresses

Primary practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Mailing address

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (410) 350-3565

Other practice location 1

3001 S Hanover St
Dept of Medicine
Baltimore, MD 21225-1233
Phone (410) 350-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819003440 GA Practitioner - Infectious Disease 2567709710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network Inc 128 clinicians

Practice addresses (Care Compare)

2409 N Patterson St
Suite 230
Valdosta, GA 31602-2512
Phone (229) 259-4369

Hospital & facility affiliations

  • Amedisys Home Health of Valdosta Home health agency, Valdosta, GA, CCN 117114
  • Georgia Home Health Services Home health agency, Valdosta, GA, CCN 117058
  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • SGMC Berrien Campus Hospital, Nashville, GA, CCN 110234
  • SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326
  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84036GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Physician Network Inc Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
SGMC Affiliated Services LLC Single Specialty Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Single Specialty Past Accepting new patients

Locations

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

413 Pendleton Pl
Valdosta, GA 31602
Phone (229) 244-6968

312 Canna Dr
Valdosta, GA 31602
Phone (229) 241-8750

410 Northside Dr
Valdosta, GA 31602
Phone (229) 242-7368

415 Pendleton Pl
Valdosta, GA 31602
Phone (229) 242-6868

2501 N Ashley St
Valdosta, GA 31602
Phone (229) 224-7368

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Organizations & group practices 3

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 6

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1275916827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021735",
            "telephone_number": "410-350-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021735",
            "telephone_number": "410-350-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 S Hanover St",
            "address_2": "Dept of Medicine",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212251233",
            "country_code": "US",
            "telephone_number": "410-350-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "84036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.