Individual provider Active NPI

Ryan Brown, APRN, DNP-PNP, CPNP

  • Pediatric Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1831811058
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN246900 Issued in GA
Practice address
1447 Harper Street Medical Office Building - 3Rd Floor
Augusta, GA 30912-0001
Phone
(706) 721-4929
Fax
(706) 721-4575
NPI assigned
Sep 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN246900 GA Primary

Addresses

Primary practice location

1447 Harper Street Medical Office Building - 3Rd Floor
Augusta, GA 30912-0001

Mailing address

2446 Young Dr
Augusta, GA 30906-3026
Phone (706) 993-8303

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL outlook.office365.com

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN246900GAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1831811058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 YOUNG DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063026",
            "telephone_number": "706-993-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 HARPER STREET MEDICAL OFFICE BUILDING - 3RD FLOOR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120001",
            "telephone_number": "706-721-4929",
            "fax_number": "706-721-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RYAN",
        "credential": "APRN, DNP-PNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN246900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "outlook.office365.com",
            "affiliation": "N",
            "address_1": "1447 Harper Street Medical Office Building - 3rd Floor",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.