Individual provider Active NPI

Holly Lynne Brown, NP

  • Gerontology Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1821106733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN 151417 NP Issued in GA
Practice address
925 Garrett St SE
Suite 313
Atlanta, GA 30316-6826
Phone
(404) 323-1807
Fax
(866) 885-6381
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN 151417 NP GA Primary

Addresses

Primary practice location

925 Garrett St SE
Suite 313
Atlanta, GA 30316-6826

Mailing address

2279 Bright Water Dr
Snellville, GA 30078-7373
Phone (770) 315-9614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 151417 NPGAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Healthcare Solutions of Atlanta Corp Past Accepting new patients
Senior Healthcare Solutions of Atlanta Gerontology Past Accepting new patients

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821106733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 BRIGHT WATER DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787373",
            "telephone_number": "770-315-9614",
            "fax_number": "770-982-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 GARRETT ST SE",
            "address_2": "SUITE 313",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303166826",
            "telephone_number": "404-323-1807",
            "fax_number": "866-885-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HOLLY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN 151417 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.