Active NPI
Matthew R Brown, MD
- Infectious Disease Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 84036
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | ||
| Infectious Disease Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Georgia Home Health Services
- SGMC Health
- SGMC Berrien Campus
- SGMC Health Lanier
- Tift Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84036 | GA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SGMC Physician Network Inc | Single Specialty | Current | 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.
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1417597170
GA, Single Specialty
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1114740362
Single Specialty
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Valdosta, GA
- NPI 1720036494
-
- Home Health Agency
- Valdosta, GA
- NPI 1114174992
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.