Individual provider Active NPI

Shayla Brown, NP

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1609631183
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP331207 Issued in GA
Practice address
475 Philip Blvd Ste 100
Lawrenceville, GA 30046-8736
Phone
(770) 995-3300
Fax
(770) 995-3307
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP331207 GA Primary

Addresses

Primary practice location

475 Philip Blvd Ste 100
Lawrenceville, GA 30046-8736

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Phone (770) 995-3300

Other practice location 1

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (770) 995-3300

Other practice location 2

10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Phone (770) 995-3300

Other practice location 3

4580 Nelson Brogdon Blvd
Buford, GA 30518-3478
Phone (770) 995-3300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717002966 GA Practitioner - Nurse Practitioner 8325554322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

475 Philip Blvd
Suite 100
Lawrenceville, GA 30046-8736
Phone (678) 226-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP331207GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD CurrentSince Jul 1, 2025 Accepting new patients
Gwinnett Clinic LTD Current Accepting new patients
Gwinnett Clinic, LTD CurrentSince Jul 1, 2025 Accepting new patients
Gwinnett Clinic, LTD Past Accepting new patients

Locations

4580 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 831-6703

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 100301
Lawrenceville, GA 30046
Phone (770) 923-7301

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 205-5000

Interoperability endpoints

  • Direct secure messaging: shayla.brown.1@32352.direct.athenahealth.com

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1609631183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PHILIP BLVD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468736",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10600 Medlock Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978404",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4580 Nelson Brogdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183478",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAYLA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP331207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.