Individual provider Active NPI

Alycia Brown, MD

  • Child & Adolescent Psychiatry Physician
  • Boone, NC
National Provider Identifier
1790762078
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
200101428 Issued in NC
Practice address
1760 NC Hwy 105
Boone, NC 28607-2860
Phone
(828) 202-9765
Fax
(877) 847-0561
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200101428 NC
Child & Adolescent Psychiatry Physician 2084P0804X 200101428 NC Primary

Addresses

Primary practice location

1760 NC Hwy 105
Boone, NC 28607-2860

Mailing address

PO Box 1987
Boone, NC 28607-1987
Phone (828) 202-9765

Other identifiers 1

IdentifierTypeStateIssuer
140C1OtherNCBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Psychiatry PLLC Psychiatry CurrentSince Nov 24, 2025 Accepting new patients
Alycia M Brown, MD PA Psychiatry Past Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Psychiatry Past Accepting new patients

Locations

400 Shadowline Dr
Ste 204
Boone, NC 28607
Phone (828) 202-9765

Interoperability endpoints

  • Direct secure messaging: alyciabrown@arhs.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1790762078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1987",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071987",
            "telephone_number": "828-202-9765",
            "fax_number": "828-579-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NC HWY 105",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286072860",
            "telephone_number": "828-202-9765",
            "fax_number": "877-847-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALYCIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200101428",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "200101428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "140C1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.