Individual provider Active NPI

Joann Melinda Brown, NP

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1760975619
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN163972 Issued in GA
Practice address
2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926
Phone
(678) 878-2950
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN163972 GA Primary

Addresses

Primary practice location

2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926

Mailing address

2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181025002793 GA Practitioner - Nurse Practitioner 8426301102 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Hospice of Georgia, LLC CurrentSince Jul 1, 2018 Accepting new patients
SB Healthcare, LLC Past Accepting new patients
First Class Healthcare LLC PastSince Sep 20, 2022 Accepting new patients
Peachtree Hospice of Georgia, LLC PastSince Sep 28, 2021 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

200 Business Center Dr
Ste 204
Stockbridge, GA 30281
Phone (678) 583-2269

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1760975619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RIVERSIDE PKWY STE 107",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVERSIDE PKWY STE 107",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435926",
            "telephone_number": "678-878-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOANN",
        "middle_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN163972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.