Organization Active NPI

Brown Family Medicine, LLC

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1639309065
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109 Issued in GA
Legal business name
BROWN FAMILY MEDICINE, LLC
Practice address
20 Riverbend Dr SW
Rome, GA 30161-6066
Phone
(706) 291-1270
Fax
(706) 291-1276
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Amy Cuzzort
Title
Office Manager
Phone
(706) 290-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036109 GA Primary

Addresses

Primary practice location

20 Riverbend Dr SW
Rome, GA 30161-6066

Mailing address

20 Riverbend Dr SW
Rome, GA 30161-6066
Phone (706) 291-1270

Other identifiers 1

IdentifierTypeStateIssuer
1588698054OtherGAIND NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1639309065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVERBEND DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616066",
            "telephone_number": "706-291-1270",
            "fax_number": "706-291-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVERBEND DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616066",
            "telephone_number": "706-291-1270",
            "fax_number": "706-291-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "CUZZORT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-290-8115"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1588698054",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.