Active NPI
Shivice Brown
- Renal Dialysis Technician
- Marietta, GA
National Provider Identifier
1366244790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Dialysis Technician
- Practice address
- 2000 Powers Ferry Rd SE Unit 2203
Marietta, GA 30067-9476 - Phone
- (678) 972-3742
- NPI assigned
- Mar 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Dialysis Technician | 2472R0900X | GA | Primary |
Addresses
Primary practice location
2000 Powers Ferry Rd SE Unit 2203
Marietta, GA 30067-9476
Mailing address
2000 Powers Ferry Rd SE
Marietta, GA 30067-9476
Phone (678) 972-3742
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | AZURE | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1366244790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 POWERS FERRY RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300679476",
"telephone_number": "678-972-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 POWERS FERRY RD SE UNIT 2203",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300679476",
"telephone_number": "678-972-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHIVICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2472R0900X",
"taxonomy_group": "",
"desc": "Technician, Other, Renal Dialysis",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "AZURE",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 Powers Ferry Rd SE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300679476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.