Individual provider Active NPI

Mary G Brown, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1457389496
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA642 Issued in KY
Practice address
740 S Limestone Ste B101
Lexington, KY 40536-6514
Phone
(859) 323-5661
Fax
(859) 323-6411
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA642 KY
Surgical Physician Assistant 363AS0400X PA642 KY
Physician Assistant 363A00000X PA642 KY Primary

Addresses

Primary practice location

740 S Limestone Ste B101
Lexington, KY 40536-6514

Mailing address

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984

Other practice location 1

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

Other identifiers 1

IdentifierTypeStateIssuer
95002408MedicaidKY

Other names 1

  • Mary G Brenyo Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000185 KY Practitioner - Physician Assistant 1153427927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412

740 S Limestone
Lexington, KY 40536-0284
Phone (859) 323-1345

740 S Limestone
E214
Lexington, KY 40536-0001
Phone (859) 323-3368

770 Rose St
Mn328
Lexington, KY 40536-0001
Phone (859) 323-8873

800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562

800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA642KYMDPhysician Assistant
TC354KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince May 1, 2024 Accepting new patients
Keightley & Parsley P S C Physician Assistant Past Accepting new patients
Acute Care Specialists, Inc. Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1250 Keene Rd
Nicholasville, KY 40356
Phone (859) 881-4288

Interoperability endpoints

  • Direct secure messaging: mbrown345660@ukhcdirect.org

Organizations & group practices 4

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.

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1457389496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE B101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405366514",
            "telephone_number": "859-323-5661",
            "fax_number": "859-323-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Kings Daughters Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016514",
            "country_code": "US",
            "telephone_number": "502-875-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA642",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA642",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002408",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRENYO BROWN",
            "middle_name": "G",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.