NPIMap

Individual provider Active NPI

Michaele L Brown, M.D

  • Internal Medicine Physician
  • Smyrna, GA
National Provider Identifier
1609987056
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
057052 Issued in GA
Practice address
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone
(770) 437-6910
Fax
(770) 433-2380
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 057052 GA Primary

Addresses

Primary practice location

3949 S Cobb Dr SE
Smyrna, GA 30080-6342

Mailing address

686 Willow Mill CT
Marietta, GA 30068-4756
Phone (770) 437-6910

Other practice location 1

2487 Cedarcrest Rd Ste 714
Acworth, GA 30101-2730
Phone (678) 224-5730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbrown70692@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000722 GA Practitioner - Internal Medicine 4688663537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2487 Cedarcrest Rd
Suite 714
Acworth, GA 30101-2730
Phone (678) 224-5730

4900 Ivey Rd NW
Acworth, GA 30101-4112

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Wellstar Home Health, LLC Home health agency, Marietta, GA, CCN 117102
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2014 Accepting new patients
Smyrna Family Medicine, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Westbank Physician Associates Internal Medicine Past Accepting new patients

Locations

2487 Cedarcrest Rd
Ste 714
Acworth, GA 30101
Phone (678) 224-5730

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Interoperability endpoints

  • Direct secure messaging: mbrown70692@directwellstar.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1609987056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 WILLOW MILL CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684756",
            "telephone_number": "770-437-6910",
            "fax_number": "770-433-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-437-6910",
            "fax_number": "770-433-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2487 Cedarcrest Rd Ste 714",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301012730",
            "country_code": "US",
            "telephone_number": "678-224-5730",
            "fax_number": "770-693-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAELE",
        "middle_name": "L",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrown70692@directwellstar.org",
            "affiliation": "N",
            "address_1": "2487 Cedarcrest Rd Ste 714",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301012730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.