Charnissa Brown
Individual provider Active NPI Social Worker · Quitman, GA
NPI 1477091544 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1477091544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 6589 Dry Lake Rd
Quitman, GA 31643-5905 - Phone
- (229) 263-6947
- NPI assigned
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
6589 Dry Lake Rd
Quitman, GA 31643-5905
Mailing address
5044 Dixie Barwick Rd
Boston, GA 31626-6408
Phone (229) 300-2880
Other providers in Quitman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. 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.