Active NPI
Jessica Brown, NP
- Family Nurse Practitioner
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN245084
- Practice address
- 112 Mimosa Dr
Thomasville, GA 31792-6605 - Phone
- (229) 227-0045
- NPI assigned
- Nov 23, 2019
- Last updated
- Sep 21, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | RN245084 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN245084 | GA | Primary |
Addresses
Primary practice location
112 Mimosa Dr
Thomasville, GA 31792-6605
Mailing address
3951 US Highway 93 S Lot 6
Thomasville, GA 31792-1755
Phone (229) 378-4949
Other practice location 1
915 Gordon Ave
Thomasville, GA 31792-6699
Phone (229) 228-2834
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.brown.p26@direct.archbold.nextgenshare.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mimosa Dr
Thomasville, GA 31792-6676
Phone (229) 228-5500
112 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 227-0045
116 Mimosa Dr
Suite 2
Thomasville, GA 31792-6605
Phone (229) 228-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
112 Mimosa Dr
Thomasville, GA 31792
Phone (229) 227-0045
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
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.
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
dba Archbold Pulmonary Medicine & Critical Care Services
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cairo, GA
- NPI 1013961507
-
dba Archbold Mitchell
- Critical Access Hospital
- Camilla, GA
- NPI 1700830247
-
dba Archbold Memorial
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
dba John D. Archbold Memorial Hospital - Rehab
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1356987457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3951 US HIGHWAY 93 S LOT 6",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317921755",
"telephone_number": "229-378-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MIMOSA DR",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926605",
"telephone_number": "229-227-0045"
}
],
"practiceLocations": [
{
"address_1": "915 Gordon Ave",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "GA",
"postal_code": "317926699",
"country_code": "US",
"telephone_number": "229-228-2834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JESSICA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-23",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "RN245084",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN245084",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.brown.p26@direct.archbold.nextgenshare.com",
"affiliation": "N",
"address_1": "112 Mimosa Dr",
"city": "Thomasville",
"state": "GA",
"country_code": "US",
"postal_code": "317926605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.