Active NPI
Holly Lynne Brown, NP
- Gerontology Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1821106733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN 151417 NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 151417 NP | GA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1366550204
Gerontology
-
- Adult Psychiatric/Mental Health Registered Nurse
- Atlanta, GA
- NPI 1821158957
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.