Individual provider Active NPI

Jeanne Nicole Eisenbrown, MD

  • Urology Physician
  • Griffin, GA
National Provider Identifier
1750376323
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
97508 Issued in GA
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

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264546700MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
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, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100709000079 FL Practitioner - Urology 5890827893 Reassigns benefits to 3 organizations
I20231109001160 GA Practitioner - Urology 5890827893 Reassigns benefits to 2 organizations
I20250527000743 IN Practitioner - Urology 5890827893 Reassigns benefits to 1 organization
I20250701002815 CO Practitioner - Urology 5890827893 Reassigns benefits to 1 organization

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
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

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 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0004775COMDUrology Physician
ME84013FLMDUrology Physician
97508GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients
Orlando Health Medical Group Inc Urology CurrentSince Dec 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince May 19, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 14, 2025 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 19, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Aug 25, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 14, 2025 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince May 19, 2024 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

  • Direct secure messaging: jeisenbrown403202@orlandohealth.medalliesdirect.net
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.