Brenda R. M. Brown
Individual provider Active NPI Nurse Practitioner · Powder Springs, GA
NPI 1851459010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851459010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN076533 (GA)
- Practice address
- 5230 Dallas Hwy
Powder Springs, GA 30127-4263 - Phone
- (877) 935-0333
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Care Health Georgia, P.C. | Past | Accepting new patients | |
| Rediclinic LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN076533 | GA | Yes |
Addresses
Primary practice location
5230 Dallas Hwy
Powder Springs, GA 30127-4263
Mailing address
5589 Lakeview Dr
Austell, GA 30106-7926
Phone (770) 819-0587
Other providers in Powder Springs, GA
- Shannon Leigh Brice
- Bridges Homemaker and Companion Services
- Bright Luminaries ABA, LLC
- Jason Kevin Brooks
- Sheila Brooks
- Jeremia Brown
- Leonard L. Brown Jr.
- Hannah Buckner
- Sarah Meyer Bullington
- Gifty Bunyan
All providers in Powder Springs, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.