Samira L Brown, MD
Individual provider Active NPI Pediatrics Physician · Covington, GA
NPI 1427205608 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1427205608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 080561 (GA)
- Practice address
- 7143 Turner Lake Rd NW
Covington, GA 30014-2066 - Phone
- (770) 784-3980
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- samira.brown.1@24265.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 080561 | GA | Yes |
Addresses
Primary practice location
7143 Turner Lake Rd NW
Covington, GA 30014-2066
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Other providers in Covington, GA
- Donna Vella Brown
- Janice Brown
- Joyce Denise Brown
- Nena N Brown
- Paulette Brown
- Shane Brown
- Tenekia Brown
- Zackary Randall Brown
- Sharon L Browne-Joseph
- Catreshia Brundage
All providers in Covington, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.