Lucille Brown

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

902 June Dr
Montezuma, GA 31063-1021

Phone

(478) 244-9390

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• J & M Serene Care, LLC

  • Case Management Agency
  • Montezuma, GA
  • NPI 1083246797

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1609408319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 JUNE DR",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631021",
            "telephone_number": "478-244-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 JUNE DR",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631021",
            "telephone_number": "478-244-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LUCILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bacchus Operations Group, Inc.
• Bacchus Operations Group, Inc.
• Bacchus Operations Group, Inc.
• Bacchus Operations Group, Inc.
• Bridget April Barrow, NP
• Careconnect Health, Inc.
• Coordination Services of Atlanta Inc.
• DJK 36 Inc
• Dkl31092 Inc
• Doctor'S Pharmacy-Vital Care, Inc.

• Case Manager/Care Coordinator in Montezuma, GA
• Providers in Montezuma, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.