Tracy Brown-Lewis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

272 Cassidy TRL
Douglasville, GA 30134-5312

Phone

(678) 602-6113

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Renew You Wound Care

  dba A New You

  • Community Health Worker
  • Douglasville, GA
  • NPI 1093505117
  NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1659913127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CASSIDY TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345312",
            "telephone_number": "678-602-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CASSIDY TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345312",
            "telephone_number": "678-602-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-LEWIS",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "bizmed",
            "affiliation": "N",
            "address_1": "272 Cassidy Trl",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301345312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bibi J Brooks, BSQP,QMHP,QSAP,CSAC-
• Blair Allen Broussard
• Kathy Brown-Bragg, MSW
• Sidney Adele Brown-Caggiano, PA-C, MPAS
• Vermelle L Brown-Hrobowski, DDS
• Carly Elizabeth Brown, RBT
• Cierra Brown, PTA
• Deborah Raphaella Brown
• Ibiyemi Brown, PHARMD
• Jasmine T Brown

• Community Health Worker in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.