Individual provider Active NPI

Starla K Brown, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1629463880
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN102162 Issued in GA
Practice address
708 S 8TH St
Griffin, GA 30224-4827
Phone
(770) 228-5402
Fax
(770) 999-2619
NPI assigned
Apr 3, 2015
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 RN102162 GA Primary

Addresses

Primary practice location

708 S 8TH St
Griffin, GA 30224-4827

Mailing address

708 S 8TH St
Griffin, GA 30224-4827
Phone (770) 228-5402

Other practice location 1

377 Northridge Rd
Barnesville, GA 30204-3155
Phone (770) 584-6343

Other practice location 2

5775 Peachtree Dunwoody Rd Ste 500
Atlanta, GA 30342
Phone (678) 372-5885

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
I20180517001060 GA Practitioner - Nurse Practitioner 7214249234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Oct 2, 2020 Accepting new patients
Mark a. Crump, MD, PC CurrentSince Sep 25, 2022 Accepting new patients
Careconnect Health, Inc. CurrentSince Oct 2, 2020 Accepting new patients

Locations

708 S 8th St
Griffin, GA 30224
Phone (770) 228-5402

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Interoperability endpoints

  • Direct secure messaging: sbrown445535@directwellstar.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1629463880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-228-5402",
            "fax_number": "770-999-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-228-5402",
            "fax_number": "770-999-2619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Northridge Rd",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "GA",
            "postal_code": "302043155",
            "country_code": "US",
            "telephone_number": "770-584-6343",
            "fax_number": "770-358-9229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 Peachtree Dunwoody Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "678-372-5885",
            "fax_number": "844-545-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STARLA",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2022-09-19",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN102162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.