Individual provider Active NPI

Justin Robert Brown, FNP

  • Family Nurse Practitioner
  • Gordonsville, TN
National Provider Identifier
1780401042
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37234 Issued in TN
Practice address
14 Main St E Ste B
Gordonsville, TN 38563-2054
Phone
(615) 588-1015
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 37234 TN Primary

Addresses

Primary practice location

14 Main St E Ste B
Gordonsville, TN 38563-2054

Mailing address

106 Oak Cir
Carthage, TN 37030-1737
Phone (615) 630-3462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20241112001293 TN Practitioner - Nurse Practitioner 4688108731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

14 Main St E
Suite B
Gordonsville, TN 38563-2054
Phone (615) 588-1015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37234TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Nov 1, 2024 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC CurrentSince Nov 1, 2024 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

14 Main St E
Ste B
Gordonsville, TN 38563
Phone (615) 588-1015

Interoperability endpoints

  • Direct secure messaging: justin.brown.1@19363.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1780401042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OAK CIR",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301737",
            "telephone_number": "615-630-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAIN ST E STE B",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385632054",
            "telephone_number": "615-588-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordonsville, TN

Sources for this page

Verify at the official NPI Registry.