Individual provider Active NPI

Roger Lee Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Roswell, GA
National Provider Identifier
1407179609
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
80061 Issued in NM
Practice address
3000 Hospital Blvd
Anesthesia Dept.
Roswell, GA 30076-4915
Phone
(770) 751-2623
Fax
(770) 751-2627
NPI assigned
Mar 3, 2010
Last updated
Nov 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 80061 NM Primary
Certified Registered Nurse Anesthetist 367500000X RN163820 GA

Addresses

Primary practice location

3000 Hospital Blvd
Anesthesia Dept.
Roswell, GA 30076-4915

Mailing address

PO Box 105048
Atlanta, GA 30348-5048
Phone (800) 919-1190

Other identifiers 1

IdentifierTypeStateIssuer
RN163820OtherGARN / CRNA LICENSE

Other names 1

  • Roger Lee Brown Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, TN, TX, NM, OK, CO7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20100511000667 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 11 organizations
I20170201001682 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 1 organization
I20190126000065 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 1 organization
I20231013000961 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 1 organization
I20241123000361 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 1 organization
I20250129002322 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 1 organization
I20260129003560 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244368330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Fortis Health, LLCGroup PAC ID 8325446305, 13 clinicians

Practice addresses (Care Compare)

10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000

1202 N Muskogee PL
HC Hosp Claremore
Claremore, OK 74017-3058
Phone (918) 341-2556

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (770) 702-1806

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN163820GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Medical Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Nov 1, 2024 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2018 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Aug 28, 2023 Accepting new patients
Dpi of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2019 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2010 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 24, 2024 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2024 Accepting new patients
CSP Anesthesia LLC CurrentSince Aug 14, 2021 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Dec 21, 2015 Accepting new patients
Fortis Health, LLC CurrentSince Oct 1, 2021 Accepting new patients
Hidden Valley Medical Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Riverdale Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Anesthesia Consulting Partners, PLLC CurrentSince Dec 11, 2025 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Aug 1, 2024 Accepting new patients
Perimeter Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2021 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 34)

9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (678) 995-5068

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

2855 Old Highway 5
Ste 101
Blue Ridge, GA 30513
Phone (866) 214-8600

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

2855 Old Highway 5
Ste 106
Blue Ridge, GA 30513
Phone (706) 632-2066

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810

939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (678) 943-3939

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4500 Hospital Blvd
Ste 200
Roswell, GA 30076
Phone (770) 676-4600

5505 Roswell Rd
Ste 350
Sandy Springs, GA 30342
Phone (470) 827-3648

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1407179609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105048",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303485048",
            "telephone_number": "800-919-1190",
            "fax_number": "706-860-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "address_2": "ANESTHESIA DEPT.",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764915",
            "telephone_number": "770-751-2623",
            "fax_number": "770-751-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "80061",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN163820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN / CRNA LICENSE",
            "identifier": "RN163820",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "BROWN",
            "middle_name": "LEE",
            "suffix": "JR.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.