Active NPI
Charlene Brown, AGNP
- Gerontology Nurse Practitioner
- Ahoskie, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 261438
- Practice address
- 120 Health Center Dr
Ahoskie, NC 27910-8161 - Phone
- (252) 332-3548
- Fax
- (252) 332-1665
- NPI assigned
- Sep 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 261438 | NC | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 261438 | NC |
Addresses
Primary practice location
120 Health Center Dr
Ahoskie, NC 27910-8161
Mailing address
PO Box 669
Ahoskie, NC 27910-0669
Phone (252) 209-0237
Other practice location 1
101 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4611
Other names 1
- Charlene Earley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20190306003549 | NC | Practitioner - Nurse Practitioner | 7214276351 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Roanoke Chowan Community Health Center Inc
Practice addresses (Care Compare)
120 Health Ctr Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548
Hospital & facility affiliations
- Vidant Roanoke Chowan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261438 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients |
Locations
120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237
305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323
Interoperability endpoints
- cbrown220388@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Colerain, NC
- NPI 1790851004
NC
-
- Federally Qualified Health Center (FQHC)
- Ahoskie, NC
- NPI 1407881691
-
- Federally Qualified Health Center (FQHC)
- Woodland, NC
- NPI 1023675113
-
- Federally Qualified Health Center (FQHC)
- Murfreesboro, NC
- NPI 1497776470
-
- Federally Qualified Health Center (FQHC)
- Creswell, NC
- NPI 1619342706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1841774841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279100669",
"telephone_number": "252-209-0237",
"fax_number": "252-209-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTH CENTER DR",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279108161",
"telephone_number": "252-332-3548",
"fax_number": "252-332-1665"
}
],
"practiceLocations": [
{
"address_1": "101 Heart Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278348982",
"country_code": "US",
"telephone_number": "252-744-4611",
"fax_number": "252-744-3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "CHARLENE",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "261438",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "261438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLENE",
"last_name": "EARLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.