Kelvin L Brown, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

047009 Issued in GA

Practice address

3755 Carmia Dr SW Ste 970
Atlanta, GA 30331-6254

Phone

(404) 496-6028

Fax

(678) 802-3486

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellstar Medical Group, LLC

  • Surgery Physician
  • Douglasville, GA
  • NPI 1164715132
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1366426660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CARMIA DR SW STE 970",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316254",
            "telephone_number": "404-496-6028",
            "fax_number": "678-802-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 CARMIA DR SW STE 970",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316254",
            "telephone_number": "404-496-6028",
            "fax_number": "678-802-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Stonecrest Concourse Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300386902",
            "country_code": "US",
            "telephone_number": "404-496-6028",
            "fax_number": "678-802-3486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELVIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "047009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://webchartnow.com/vhcg/webchart.cgi?func=logout",
            "affiliation": "N",
            "endpointDescription": "Secure Electronic Health Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure health information",
            "address_1": "7301 Stonecrest Concourse Ste 107",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300386902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keesha Allen Brown
• Keila Arlaine Brown, MD
• Keisha Brown
• Kelsea Brown, OD
• Kelsey Brown
• Kimberly L. Brown, NP
• Kimberly Y Brown
• Kimberly Yvette Brown, RDH
• Kofi Demetrick Brown, DMD
• Laila Brown

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.