Individual provider Active NPI

James T Brown Jr., M.D.

  • Family Medicine Physician
  • Thomasville, GA
National Provider Identifier
1326082298
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051025 Issued in GA
Practice address
454 Smith Ave
Thomasville, GA 31792
Phone
(229) 227-5510
Fax
(229) 227-5527
NPI assigned
Jun 15, 2006
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0085940 GA
Family Medicine Physician 207Q00000X ME0085940 FL
Family Medicine Physician 207Q00000X 051025 GA Primary

Addresses

Primary practice location

454 Smith Ave
Thomasville, GA 31792

Mailing address

454 Smith Ave
Thomasville, GA 31792-5535
Phone (229) 227-5510

Other practice location 1

3222 Shrine Rd Ste A
Brunswick, GA 31520-4357
Phone (912) 466-5480

Other practice location 2

4681 US Highway 84 Byp W
Thomasville, GA 31792-2607
Phone (229) 227-2936

Other practice location 3

509 Wheat Ave
Bainbridge, GA 39819-4321
Phone (229) 416-4421

Other identifiers 9

IdentifierTypeStateIssuer
000976269BMedicaidGA
000976269NMedicaidGA
265578100MedicaidFL
000976269CMedicaidGA
000976269FMedicaidGA
52177219004OtherGABCBS
000976269AMedicaidGA
000976269IMedicaidGA
051025OtherGAGEORGIA LICENSE NUMBER

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
I20040227000713 GA Practitioner - Family Practice 3577459254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Southwest Georgia, Inc.Group PAC ID 5496777948, shared by 7 NPIs, 4 clinicians

Practice addresses (Care Compare)

360 College St
Blakely, GA 39823-2554
Phone (229) 723-2660

454 Smith Ave
Thomasville, GA 31792-5535
Phone 22922755104220

509 Wheat Ave
Bainbridge, GA 39819-4321
Phone (229) 416-4421

907 N Court St
Quitman, GA 31643-1315
Phone (229) 263-4531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0085940GAMDEmergency Medicine Physician
ME0085940FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Jun 1, 2016 Accepting new patients
Primary Care of Southwest Georgia, Inc. Family Medicine Current Accepting new patients
Southland Emergency Medical Services, L.L.C Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jan 23, 2012 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jan 23, 2012 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Emergency Medicine South LLC Emergency Medicine Past Accepting new patients
Primary Care of Southwest Georgia, Inc. Family Medicine Past Accepting new patients
Archbold Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

509 Wheat Ave
Bainbridge, GA 39819
Phone (229) 416-4421

360 College St
Blakely, GA 39823
Phone (229) 723-2660

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

907 N Court St
Quitman, GA 31643
Phone (229) 263-4531

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

454 Smith Ave
Thomasville, GA 31792
Phone (229) 227-5510

4681 US Highway 84 Byp W
Thomasville, GA 31792
Phone (229) 227-2936

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA
  • Direct secure messaging: james.brown@pcsg.eclinicaldirectplus.com
  • Direct secure messaging: james.brown@pcswga.gadirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1326082298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510",
            "fax_number": "229-227-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-227-5510",
            "fax_number": "229-227-5527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 Shrine Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204357",
            "country_code": "US",
            "telephone_number": "912-466-5480",
            "fax_number": "912-264-0042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4681 US Highway 84 Byp W",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317922607",
            "country_code": "US",
            "telephone_number": "229-227-2936",
            "fax_number": "229-225-5284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Wheat Ave",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398194321",
            "country_code": "US",
            "telephone_number": "229-416-4421",
            "fax_number": "229-416-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "ME0085940",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0085940",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000976269B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000976269N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265578100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000976269C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000976269F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52177219004",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000976269A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000976269I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE NUMBER",
            "identifier": "051025",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.