Individual provider Active NPI

Kaylee Susanne Brown, MD

  • Family Medicine Physician
  • Saint Marys, GA
National Provider Identifier
1366144958
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110998 Issued in GA
Practice address
2060 Dan Proctor Dr Ste 2100
Saint Marys, GA 31558-3895
Phone
(912) 882-6767
Fax
(912) 882-6411
NPI assigned
Mar 20, 2023
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110998 GA Primary

Addresses

Primary practice location

2060 Dan Proctor Dr Ste 2100
Saint Marys, GA 31558-3895

Mailing address

2060 Dan Proctor Dr Ste 2100
Saint Marys, GA 31558-3895
Phone (912) 322-3665

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
I20230801000148 GA Order and Referring Only - Family PracticePractitioner - Family Practice 8729449228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110998GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Family Medicine CurrentSince Aug 1, 2026 Accepting new patients
Southeastern Surgical Associates PastSince Aug 1, 2026 Accepting new patients

Locations

2060 Dan Proctor Dr
Ste 2100
Saint Marys, GA 31558
Phone (912) 882-6767

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1366144958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR STE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583895",
            "telephone_number": "912-322-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR STE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583895",
            "telephone_number": "912-882-6767",
            "fax_number": "912-882-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KAYLEE",
        "middle_name": "SUSANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "110998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.