Individual provider Active NPI

Carla Brown, CNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1760853998
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039633 Issued in FL
Practice address
6488 103Rd St Ste B
Jacksonville, FL 32210
Phone
(904) 450-6810
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11039633 FL Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.18221 OH

Addresses

Primary practice location

6488 103Rd St Ste B
Jacksonville, FL 32210

Mailing address

6488 103Rd St Ste B
Jacksonville, FL 32210-7161
Phone (904) 450-6810

Other practice location 1

6905 Hospital Dr Ste 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Other identifiers 1

IdentifierTypeStateIssuer
0147408MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151110000358 OH Practitioner - Nurse Practitioner 1052621760 Reassigns benefits to 2 organizations
I20250808002977 FL Practitioner - Nurse Practitioner 1052621760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Muskingum Valley Health CentersGroup PAC ID 4789760216, shared by 15 NPIs, 74 clinicians

Practice addresses (Care Compare)

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

6488 103Rd St
Suite B
Jacksonville, FL 32210-7161
Phone (904) 450-6810

915 Putnam Ave
Zanesville, OH 43701-5547
Phone (740) 487-9860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18221OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 7, 2020 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Jan 1, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 7, 2020 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

6488 103rd St
Ste B
Jacksonville, FL 32210
Phone (904) 450-6810

58601 Marietta Rd
Ste 100
Byesville, OH 43723
Phone (740) 487-3372

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600

Dept L3652
Columbus, OH 43260

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

235 Kenwood Dr
Coshocton, OH 43812
Phone (740) 622-6474

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

Interoperability endpoints

  • Direct secure messaging: carla.brown.1@8967.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1760853998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 103RD ST STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107161",
            "telephone_number": "904-450-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 103RD ST STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-450-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Hospital Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CARLA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039633",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.