Individual provider Active NPI

Alia Sampson Brown, M.D.

  • Dermatology Physician
  • Snellville, GA
National Provider Identifier
1679613871
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
64786 Issued in GA
Practice address
2383 Pate Street
Snellville, GA 30078-3250
Phone
(770) 972-4845
Fax
(770) 972-0358
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X IP975 KY
Dermatology Physician 207N00000X 64786 GA Primary

Addresses

Primary practice location

2383 Pate Street
Snellville, GA 30078-3250

Mailing address

2383 Pate Street
Snellville, GA 30078-3250
Phone (770) 972-4845

Other names 1

  • Dr. Alia Janine Sampson Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000365 GA Practitioner - Dermatology 7810184462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Meharry Medical College School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2383 Pate St N
Snellville, GA 30078-3250
Phone 7709724845108

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions124
Skin biopsy75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64786GAMDDermatology Physician
IP975KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners Dermatology CurrentSince Dec 6, 2010 Accepting new patients

Locations

1515 River Pl
Ste 300
Braselton, GA 30517
Phone (770) 972-4845

3929 Peachtree Rd NE
Ste 300
Brookhaven, GA 30319
Phone (770) 972-4845

117 Lee Byrd Rd
Loganville, GA 30052
Phone (770) 972-4845

2383 Pate St N
Snellville, GA 30078
Phone (770) 972-4845

Interoperability endpoints

  • Direct secure messaging: alia.brown@pd.eclinicaldirectplus.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1679613871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 PATE STREET",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783250",
            "telephone_number": "770-972-4845",
            "fax_number": "770-972-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 PATE STREET",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783250",
            "telephone_number": "770-972-4845",
            "fax_number": "770-972-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALIA",
        "middle_name": "SAMPSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "IP975",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "64786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIA",
            "last_name": "SAMPSON",
            "middle_name": "JANINE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.