Depamelia C Brown

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003240 Issued in GA

Practice address

2330 Scenic Hwy S Ste 213
Snellville, GA 30078-3115

Phone

(678) 760-2932

NPI assigned

Sep 5, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1750059531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 LEALAND PLACE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448304",
            "telephone_number": "678-760-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 213",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "678-760-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEPAMELIA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamelatukes@uahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2330 Scenic Hwy S Ste 213",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300783115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brookwood Dentistry, LLC (Brookwood Dentistry)
• Carol Deforest Brower, BCBA
• Alia Sampson Brown, M.D.
• Alisha Brown, LPC
• Brandy Brown, DNP,APRN, FNP-C, PMH
• Kermecia Brown, RBT
• Lindsey Michelle Brown, PA-C
• Melissa Brown
• Michael Brown
• Ora Gylbryne Brown

• Massage Therapist in Snellville, GA
• Providers in Snellville, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; 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.