Individual provider Active NPI

Carol Williams Brown, O.D.

  • Optometrist
  • Savannah, GA
National Provider Identifier
1588758593
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
876T Issued in GA
Practice address
1320 Abercorn St
Savannah, GA 31401-6947
Phone
(912) 236-4898
Fax
(912) 236-4890
NPI assigned
Oct 3, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 876T GA Primary

Addresses

Primary practice location

1320 Abercorn St
Savannah, GA 31401-6947

Mailing address

1320 Abercorn St
Savannah, GA 31401-6947
Phone (912) 236-4898

Other practice location 1

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 495-8887

Other identifiers 1

IdentifierTypeStateIssuer
00182839AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000321 GA Practitioner - Optometry 1557403763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 495-6706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
876TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J C Lewis Primary Health Care Center CurrentSince May 1, 2016 Accepting new patients
J.C. Lewis Primary Healthcare Center, Inc CurrentSince May 1, 2016 Accepting new patients

Locations

125 Fahm St
Savannah, GA 31401
Phone (912) 495-8887

2414 Bull St
Savannah, GA 31401
Phone (912) 495-8887

5 Mall Anx
Savannah, GA 31406
Phone (912) 495-8887

Interoperability endpoints

  • Direct secure messaging: carol.brown.1@23600.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1588758593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016947",
            "telephone_number": "912-236-4898",
            "fax_number": "912-236-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016947",
            "telephone_number": "912-236-4898",
            "fax_number": "912-236-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Mall Anx",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064738",
            "country_code": "US",
            "telephone_number": "912-495-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAROL",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "876T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182839A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.