Individual provider Active NPI

Leandra Nicole Brown, PA

  • Physician Assistant
  • Decatur, AL
National Provider Identifier
1801570577
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2289 Issued in AL
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. 108 clinicians

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 Hospital, Decatur, AL, CCN 010085

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2289ALMDIntellectual & Developmental Disabilities Psychologist
PA.2289ALMDPhysician Assistant

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2024.

{
    "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

Verify at the official NPI Registry.