Individual provider Active NPI

Tamu Tayari Brown, M.D.

  • Dermatology Physician
  • Roswell, GA
National Provider Identifier
1609009174
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
068379 Issued in GA
Practice address
1265 Upper Hembree Rd
Suite 101
Roswell, GA 30076-1257
Phone
(770) 751-1433
Fax
(770) 751-7410
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 068379 GA Primary

Addresses

Primary practice location

1265 Upper Hembree Rd
Suite 101
Roswell, GA 30076-1257

Mailing address

1265 Upper Hembree Rd
Suite 101
Roswell, GA 30076-1257
Phone (770) 751-1433

Other identifiers 1

IdentifierTypeStateIssuer
003130142AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbrown@directaddress.net Health Information Exchange (HIE)

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000262 GA Practitioner - Dermatology 1951449628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Center for Dermatologic Diseases PCGroup PAC ID 3072569318, 8 clinicians

Practice addresses (Care Compare)

5673 Peachtree Dunwoody Rd
Suite 850
Atlanta, GA 30342-5023
Phone (404) 252-4333

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1040
Removal or shaving of skin growth17
Skin biopsy581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Center for Dermatologic Diseases PC Dermatology CurrentSince Jul 9, 2014 Accepting new patients
Northside Plastic Surgery Past Accepting new patients
The Dermatology Group Dermatology Past Accepting new patients
Wesley S Wilborn MD PC Dermatology Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 340
Alpharetta, GA 30005
Phone (404) 851-6284

327 Dahlonega St
Ste 1501
Cumming, GA 30040
Phone (770) 844-1902

11685 Alpharetta Hwy
Ste 300
Roswell, GA 30076
Phone (678) 325-6611

1265 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (770) 751-1133

5673 Peachtree Dunwoody Rd
Ste 850
Sandy Springs, GA 30342
Phone (404) 252-4333

Interoperability endpoints

  • Direct secure messaging: tbrown@directaddress.net

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1609009174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD",
            "address_2": "SUITE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761257",
            "telephone_number": "770-751-1433",
            "fax_number": "770-751-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD",
            "address_2": "SUITE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761257",
            "telephone_number": "770-751-1433",
            "fax_number": "770-751-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAMU",
        "middle_name": "TAYARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "068379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130142A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbrown@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3400C Old Milton Pkwy Ste 340",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300054438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.