NPIMap

Organization Active NPI

Brown & Scott Integrated Clinical Practice

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warner Robins, GA
National Provider Identifier
1619669918
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BROWN & SCOTT INTEGRATED CLINICAL PRACTICE
Practice address
1105 Russell Pkwy Ste C
Warner Robins, GA 31088-5586
Phone
(478) 253-4870
Fax
(800) 434-4196
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Mrs. Kierra Brown
Title
Co-Owner
Phone
(478) 253-4870

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1105 Russell Pkwy Ste C
Warner Robins, GA 31088-5586

Mailing address

1105 Russell Pkwy Ste C
Warner Robins, GA 31088-5586
Phone (478) 253-4870

National Provider Directory

National Provider Directory

Locations

1105 Russell Pkwy
Ste C
Warner Robins, GA 31088
Phone (478) 253-4870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1619669918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 RUSSELL PKWY STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885586",
            "telephone_number": "478-253-4870",
            "fax_number": "800-434-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 RUSSELL PKWY STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885586",
            "telephone_number": "478-253-4870",
            "fax_number": "800-434-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN & SCOTT INTEGRATED CLINICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIERRA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "478-253-4870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.