Individual provider Active NPI

Lindsey Michelle Brown, PA-C

  • Physician Assistant
  • Snellville, GA
National Provider Identifier
1497091326
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7130 Issued in GA
Practice address
2118 Scenic Hwy N
Suite H
Snellville, GA 30078-2633
Phone
(770) 558-6017
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2770 TN
Physician Assistant 363A00000X 7130 GA Primary

Addresses

Primary practice location

2118 Scenic Hwy N
Suite H
Snellville, GA 30078-2633

Mailing address

2118 Scenic Hwy N
Suite H
Snellville, GA 30078-2633
Phone (770) 558-6017

Other names 1

  • Lindsey Burgess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130219000404 TN Practitioner - Physician Assistant 5698920825 Reassigns benefits to 1 organization
I20150324001016 GA Practitioner - Physician Assistant 5698920825

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

170 Mouse Creek Rd NW
Cleveland, TN 37312-3840
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

6108 Kingston Pike
Knoxville, TN 37919-4019
Phone (423) 458-1426

700 N Campbell Station Rd
Farragut, TN 37934-1602
Phone (423) 458-1426

713 Winfield Dunn Pkwy
Suite 9
Sevierville, TN 37876-5533
Phone (423) 458-1426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2270TNMDChiropractor
7130GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lenoir City Chiropractic, PLLC PastSince Jun 22, 2021 Accepting new patients
Synergy Health Systems, PLLC Past Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1497091326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SCENIC HWY N",
            "address_2": "SUITE H",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782633",
            "telephone_number": "770-558-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SCENIC HWY N",
            "address_2": "SUITE H",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782633",
            "telephone_number": "770-558-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LINDSEY",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2770",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "BURGESS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.