Individual provider Active NPI

Charlene Brown, AGNP

  • Gerontology Nurse Practitioner
  • Ahoskie, NC
National Provider Identifier
1841774841
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
261438 Issued in NC
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

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 35 clinicians

Practice addresses (Care Compare)

120 Health Ctr Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548

Hospital & facility affiliations

  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261438NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Chowan Community Health Center Inc Current Accepting new patients
Roanoke Chowan Community Health Center Inc CurrentSince Mar 19, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.