Kimberly Brown-Gullatt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

055549 Issued in GA

Practice address

1600 Fort Benning Rd
Columbus, GA 31903-2834

Phone

(706) 322-9599

Fax

(706) 322-9567

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Tulane University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Healthcare System IncGroup PAC ID 8628988276, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.browngullatt@vhs.eclinicaldirectplus.com

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.

• Valley Healthcare System Inc

  • Federally Qualified Health Center (FQHC)
  • Fortson, GA
  • NPI 1952599623
  Medicare reassignment Care Compare group NPD
• Valley Healthcare System

  • Federally Qualified Health Center (FQHC)
  • Columbus, GA
  • NPI 1851924377
  NPD
• Valley Healthcare System, Inc

  • Community Health Clinic/Center
  • Columbus, GA
  • NPI 1669410866
  NPD
• Rivertown Medical Clinic

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1962516120
  NPD (past)
• Valley Healthcare System Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, GA
  • NPI 1609814219
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1902836000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-322-9599",
            "fax_number": "706-322-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-322-9599",
            "fax_number": "706-322-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-GULLATT",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107162E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I087834",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookstone Surgical Center
• Brittney Broughton, LPN
• Ilyasah Ariana Brown-Bush
• Fantaysha Brown-Cabey
• Olivia Brown-Gillette, MSN, FNP-C
• Alexandria Brown
• Amber L Brown, NP-C
• Amy E Brown, M.D.
• Andrella Michelle Brown, BACHELORS
• April Nichole Brown, LPTA

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.

Verify at the official NPI Registry.