Active NPI
Stephen Benjamin Brown, PA-C
- Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9786
- Practice address
- 210 E Derenne Ave
Savannah, GA 31405-6736 - Phone
- (912) 644-5300
- NPI assigned
- May 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9786 | GA | Primary |
Addresses
Primary practice location
210 E Derenne Ave
Savannah, GA 31405-6736
Mailing address
8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200706000655 | GA | Practitioner - Physician Assistant | 7113340431 | Reassigns benefits to 2 organizations |
| I20201001003215 | SC | Practitioner - Physician Assistant | 7113340431 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optim Orthopedics LLCTattnall Hospital Company LLC
Practice addresses (Care Compare)
101 W Mulberry Blvd
Suite 140
Savannah, GA 31407-3507
Phone (912) 748-5111
17007 Hwy 67
Statesboro, GA 30458-2426
Phone (912) 681-2500
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000
257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990
602 E Long St
Claxton, GA 30417-5914
Phone (912) 739-3275
810 Towne Park Dr
Suite 200
Rincon, GA 31326-5167
Phone (912) 826-2533
8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401
Hospital & facility affiliations
- Candler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.22 of 100
- Quality
- 71.46
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 59.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9786 | GA | MD | General Practice Dentistry |
| 3568 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company LLC | Past | Accepting new patients |
Locations
821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486
242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140
790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868
961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676
102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155
209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236
1724 Old Reynolds St
#B
Waycross, GA 31501
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
Interoperability endpoints
- stephen.brown.1@16403.direct.athenahealth.com
Organizations & group practices 22
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.
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Richmond Hill, GA
- NPI 1548653330
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1053704254
-
- Orthopaedic Surgery Physician
- Vidalia, GA
- NPI 1386038057
-
- Orthopaedic Surgery Physician
- Brunswick, GA
- NPI 1487047726
-
- Orthopaedic Surgery Physician
- Rincon, GA
- NPI 1730573841
-
- Orthopaedic Surgery Physician
- Statesboro, GA
- NPI 1801280664
-
- Medicare Defined Swing Bed Hospital Unit
- Reidsville, GA
- NPI 1740440932
-
- Ambulatory Surgical Clinic/Center
- Savannah, GA
- NPI 1033363064
Hospital & facility affiliations 1
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": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1710508494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 PINELLAS DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104133",
"telephone_number": "843-705-9401",
"fax_number": "843-705-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "STEPHEN",
"middle_name": "BENJAMIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-04",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.