Christy Deanne Brown, MPAH, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001486 Issued in GA

Practice address

601 Broad St
Lagrange, GA 30240-2955

Phone

(706) 880-8352

Fax

(706) 880-8761

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1528295805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROAD ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402955",
            "telephone_number": "706-880-8352",
            "fax_number": "706-880-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROAD ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402955",
            "telephone_number": "706-880-8352",
            "fax_number": "706-880-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTY",
        "middle_name": "DEANNE",
        "name_prefix": "Mrs.",
        "credential": "MPAH, ATC/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jessie Brazell, MCD, CCC-SLP
• James A Brennan, M.D.
• Kieara Brewer
• Marcia Hudgins Brock
• Dana Lynn Brooks, APRN
• Geneen Nichole Brown, LCSW
• James Brent Brown, O.D.
• Margaret D Brown, LCSW
• Mark Terry Brown, OTR/L
• Shaundre Nichelle Brown, MD

• Athletic Trainer in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.