Individual provider Active NPI

Charneika C Brown, APRN

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1699281360
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN186780 Issued in GA
Practice address
639 Hemlock St Ste 100
Macon, GA 31201-6889
Phone
(478) 755-1560
NPI assigned
Dec 18, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN186780 GA Primary

Addresses

Primary practice location

639 Hemlock St Ste 100
Macon, GA 31201-6889

Mailing address

639 Hemlock St Ste 100
Macon, GA 31201-6889
Phone (478) 755-1560

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
I20180827003042 GA Practitioner - Nurse Practitioner 2860741675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Macon Electrophysiology AssociatesGroup PAC ID 7012801590, 7 clinicians

Practice addresses (Care Compare)

639 Hemlock St
Suite 100
Macon, GA 31201-6889
Phone (478) 755-1560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.19 of 100Reported as group
Quality
10.94
Improvement activities
40
Cost
79.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN186780GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon Electrophysiology Associates CurrentSince Feb 1, 2018 Accepting new patients
Georgia Arrhythmia Consultants and Research Institute PastSince Feb 1, 2018 Accepting new patients

Locations

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

1400 Peterson Ave N
Ste 3
Douglas, GA 31533

112 Corporate Sq
Dublin, GA 31021

230 Industrial Blvd
Ste D
Dublin, GA 31021
Phone (478) 272-1366

230 Industrial Blvd
Ste E
Dublin, GA 31021

202 Perry Hwy
Hawkinsville, GA 31036
Phone (478) 783-0299

639 Hemlock St
Ste 100
Macon, GA 31201

411 N Cobb St
Milledgeville, GA 31061
Phone (478) 453-9472

107 Jackson Ave
Ste C
Thomaston, GA 30286
Phone (706) 647-4111

101 E Northside Dr
Ste E
Valdosta, GA 31602

101 W Northside Dr
Bldg E
Valdosta, GA 31602
Phone (912) 384-7210

1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 394-6061

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1699281360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 HEMLOCK ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016889",
            "telephone_number": "478-755-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HEMLOCK ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016889",
            "telephone_number": "478-755-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARNEIKA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN186780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.