Active NPI
Madison Kathryn Brown
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1760073993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11888
- Practice address
- 5821 Fairview Rd Ste 106
Charlotte, NC 28209-3649 - Phone
- (704) 826-3500
- Fax
- (704) 538-4135
- NPI assigned
- Jan 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11888 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5821 Fairview Rd Ste 106
Charlotte, NC 28209-3649
Mailing address
5821 Fairview Rd Ste 106
Charlotte, NC 28209-3649
Phone (704) 826-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2202 Carolina PL
Suite 100
Kings Mountain, NC 28086-8807
Phone (980) 487-2270
5821 Fairview Rd
Charlotte, NC 28209-3649
7510 Ramble Way
Suite 107
Raleigh, NC 27616-4305
Phone (919) 747-3033
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Cleveland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11888 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mema SC LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1407675176
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1760073993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 FAIRVIEW RD STE 106",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093649",
"telephone_number": "704-826-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 FAIRVIEW RD STE 106",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093649",
"telephone_number": "704-826-3500",
"fax_number": "704-538-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MADISON",
"middle_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-30",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11888",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.