Active NPI
Suzanne S. Brown, PA-C
- Physician Assistant
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103108
- Practice address
- 13539 Reese Blvd W
Huntersville, NC 28078-7961 - Phone
- (704) 892-4878
- Fax
- (704) 892-7453
- NPI assigned
- Oct 6, 2005
- Last updated
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103108 | NC | |
| Physician Assistant | 363A00000X | 103108 | NC | Primary |
Addresses
Primary practice location
13539 Reese Blvd W
Huntersville, NC 28078-7961
Mailing address
1072 X Ray Dr Ste B
Gastonia, NC 28054-7488
Phone (704) 671-1094
Other practice location 1
4949 Professional Park Dr
Suite 101
Kannapolis, NC 28081-8637
Phone (704) 938-6521
Other practice location 2
7476 Waterside Loop Rd Ste 600
Denver, NC 28037-7680
Phone (704) 601-4381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13539 Reese Blvd W
Huntersville, NC 28078-7961
Phone (704) 892-4878
959 Cox Rd
Gastonia, NC 28054-3420
Phone (704) 866-0106
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 91.92
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 78.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Plastic Surgery and Dermatology | Past | Accepting new patients | |
| Cabarrus Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Gastonia, NC
- NPI 1801832837
-
- Primary Care Clinic/Center
- Concord, NC
- NPI 1679758759
-
- Dermatology Physician
- Shelby, NC
- NPI 1316056104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1336137124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 X RAY DR STE B",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547488",
"telephone_number": "704-671-1094",
"fax_number": "704-671-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13539 REESE BLVD W",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787961",
"telephone_number": "704-892-4878",
"fax_number": "704-892-7453"
}
],
"practiceLocations": [
{
"address_1": "4949 Professional Park Dr",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280818637",
"country_code": "US",
"telephone_number": "704-938-6521",
"fax_number": "704-403-2980",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7476 Waterside Loop Rd Ste 600",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "NC",
"postal_code": "280377680",
"country_code": "US",
"telephone_number": "704-601-4381",
"fax_number": "704-822-5997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SUZANNE",
"middle_name": "S.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103108",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.