Active NPI
Leandra Nicole Brown, PA
- Physician Assistant
- Decatur, AL
National Provider Identifier
1801570577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.2289
- Practice address
- 1310 14TH Ave SE
Decatur, AL 35601-4347 - Phone
- (256) 705-4224
- Fax
- (256) 705-4135
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oncology Specialties, P.C.
Practice addresses (Care Compare)
1310 14TH Ave SE
Decatur, AL 35601-4347
Phone (256) 705-4224
3601 Cci Dr
Huntsville, AL 35805-0001
Phone (256) 327-5905
3601 Cci Dr
Huntsville, AL 35805-2606
3601 Cci Dr NW
Huntsville, AL 35805-2606
Phone (256) 705-4224
Hospital & facility affiliations
- Decatur Morgan Hospital - Decatur Campus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125002493 | AL | Practitioner - Physician Assistant | 3072966043 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2289 | AL | MD | Intellectual & Developmental Disabilities Psychologist |
| PA.2289 | AL | MD | Physician Assistant |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 167672 | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X | 167672 | ||
| Physician Assistant | 363A00000X | PA.2289 | AL | Primary |
Addresses
Primary practice location
1310 14TH Ave SE
Decatur, AL 35601-4347
Mailing address
PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224
NPI Registry JSON
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1801570577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18428",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358048428",
"telephone_number": "256-705-4224",
"fax_number": "256-705-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 14TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014347",
"telephone_number": "256-705-4224",
"fax_number": "256-705-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LEANDRA",
"middle_name": "NICOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": "167672",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": "167672",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.2289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.