Active NPI
Carol Greene Brown, LMFT
- Marriage & Family Therapist
- Macon, GA
National Provider Identifier
1619201555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT1130
- Practice address
- 175 Emery Hwy
Macon, GA 31217-3692 - Phone
- (478) 751-4446
- Fax
- (478) 751-4530
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT1130 | GA | Primary |
Addresses
Primary practice location
175 Emery Hwy
Macon, GA 31217-3692
Mailing address
175 Emery Hwy
Macon, GA 31217-3692
Phone (478) 751-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT1130 | Other | GA | LMFT |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618003334 | GA | Practitioner - Marriage and Family Therapist | 4183167158 | Practice locations: Macon, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2080 Ingleside Ave
Macon, GA 31204-2028
Phone (478) 719-3499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT1130 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1619201555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 EMERY HWY",
"city": "MACON",
"state": "GA",
"postal_code": "312173692",
"telephone_number": "478-751-4446",
"fax_number": "478-751-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 EMERY HWY",
"city": "MACON",
"state": "GA",
"postal_code": "312173692",
"telephone_number": "478-751-4446",
"fax_number": "478-751-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAROL",
"middle_name": "GREENE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT1130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "MFT1130",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.