Organization Active NPI

Vickie M Brown

  • Dermatology Physician
  • Milledgeville, GA
National Provider Identifier
1336202720
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
025115 Issued in GA
Legal business name
VICKIE M BROWN
Practice address
840 West Thomas Street
Milledgeville, GA 31061
Phone
(478) 453-2700
Fax
(478) 452-5757
NPI assigned
Dec 18, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Vickie M Brown, MDNPI 1952398273
Title
Owner
Phone
(478) 453-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 025115 GA Primary

Addresses

Primary practice location

840 West Thomas Street
Milledgeville, GA 31061

Mailing address

840 West Thomas Street
Milledgeville, GA 31061
Phone (478) 453-2700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1336202720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WEST THOMAS STREET",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "31061",
            "telephone_number": "478-453-2700",
            "fax_number": "478-452-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WEST THOMAS STREET",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "31061",
            "telephone_number": "478-453-2700",
            "fax_number": "478-452-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIE M BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-453-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "025115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.