Active NPI
Matthew Brown
- Critical Care Medicine Registered Nurse
- Smyrna, GA
National Provider Identifier
1871487165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 819385
- Practice address
- 119 Kenninghall CT SE
Smyrna, GA 30082-3891 - Phone
- (646) 812-4838
- NPI assigned
- Jun 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN335463 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine Registered Nurse | 163WC0200X | 819385 | NY | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN-130277 | HI |
Addresses
Primary practice location
119 Kenninghall CT SE
Smyrna, GA 30082-3891
Mailing address
119 Kenninghall CT SE
Smyrna, GA 30082-3891
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN335463 | GA | MD | Critical Care Medicine Registered Nurse |
| 819385 | NY | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1871487165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 KENNINGHALL CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 KENNINGHALL CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823891",
"telephone_number": "646-812-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-03",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "GA",
"license": "RN335463",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "819385",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "HI",
"license": "RN-130277",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.