Active NPI
Jeanne Nicole Eisenbrown, MD
- Urology Physician
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 97508
- Practice address
- 619 S 8TH St Ste 304
Griffin, GA 30224-4260 - Phone
- (706) 242-5201
- Fax
- (706) 242-5204
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME84013 | FL | |
| Urology Physician | 208800000X | CDR.0004775 | CO | |
| Urology Physician | 208800000X | 97508 | GA | Primary |
Addresses
Primary practice location
619 S 8TH St Ste 304
Griffin, GA 30224-4260
Mailing address
619 S 8TH St Ste 304
Griffin, GA 30224-4260
Phone (706) 242-5201
Other practice location 1
303 E Par St
Orlando, FL 32804-4003
Phone (877) 876-3627
Other practice location 2
1010 Three Springs Blvd Ste 870
Durango, CO 81301-8296
Phone (970) 764-3845
Other practice location 3
4295 3rd Ave
Marianna, FL 32446-2120
Phone (850) 482-2910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264546700 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeisenbrown536836@directwellstar.org | Direct | |
| Direct Messaging Address | jeisenbrown536836@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, IN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Florida College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Three Springs Blvd
Suite 270
Durango, CO 81301-8296
Phone (970) 764-3845
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721
619 S 8TH St
Griffin, GA 30224-4260
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0004775 | CO | MD | Urology Physician |
| ME84013 | FL | MD | Urology Physician |
| 97508 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Urology | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
1010 Three Springs Blvd
Ste 270
Durango, CO 81301
Phone (970) 764-3800
1010 Three Springs Blvd
Ste 870
Durango, CO 81301
Phone (970) 764-3845
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
4295 3rd Ave
Marianna, FL 32446
Phone (850) 482-0017
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
303 E Par St
Orlando, FL 32804
Phone (321) 842-2299
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
619 S 8th St
Ste 304
Griffin, GA 30224
Phone (470) 956-4370
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1429 N 6th St
Ofc
Terre Haute, IN 47807
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jeisenbrown403202@orlandohealth.medalliesdirect.net
- jeanneeisenbrown@jh.allscriptsdirect.net
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Canon City, CO
- NPI 1467061036
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
-
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
-
- General Acute Care Hospital
- Durango, CO
- NPI 1588204010
-
- General Acute Care Hospital
- Durango, CO
- NPI 1679113104
-
- General Acute Care Hospital
- Aztec, NM
- NPI 1770123382
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1750376323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S 8TH ST STE 304",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244260",
"telephone_number": "706-242-5201",
"fax_number": "706-242-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S 8TH ST STE 304",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244260",
"telephone_number": "706-242-5201",
"fax_number": "706-242-5204"
}
],
"practiceLocations": [
{
"address_1": "303 E Par St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328044003",
"country_code": "US",
"telephone_number": "877-876-3627",
"fax_number": "321-843-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 Three Springs Blvd Ste 870",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813018296",
"country_code": "US",
"telephone_number": "970-764-3845",
"fax_number": "970-764-3823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4295 3rd Ave",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324462120",
"country_code": "US",
"telephone_number": "850-482-2910",
"fax_number": "850-526-5002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EISENBROWN",
"first_name": "JEANNE",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME84013",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "CDR.0004775",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "97508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264546700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeisenbrown536836@directwellstar.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "619 S 8th St Ste 304",
"city": "Griffin",
"state": "GA",
"country_code": "US",
"postal_code": "302244260",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeisenbrown536836@directwellstar.org",
"affiliation": "N",
"address_1": "619 S 8th St Ste 304",
"city": "Griffin",
"state": "GA",
"country_code": "US",
"postal_code": "302244260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.