Individual provider Active NPI

Sannagail Andrigue Brown, MD

  • Family Medicine Physician
  • Altanta, GA
National Provider Identifier
1912004441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36349 Issued in GA
Practice address
1123 Ralph David Abernathy Blvd
Altanta, GA 30310
Phone
(404) 758-9300
Fax
(404) 758-0798
NPI assigned
Sep 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36349 GA Primary

Addresses

Primary practice location

1123 Ralph David Abernathy Blvd
Altanta, GA 30310

Mailing address

1123 Ralph David Abernathy Blvd
Altanta, GA 30310
Phone (404) 758-9300

Other identifiers 1

IdentifierTypeStateIssuer
00564682AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medical Associates, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912004441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 RALPH DAVID ABERNATHY BLVD",
            "city": "ALTANTA",
            "state": "GA",
            "postal_code": "30310",
            "telephone_number": "404-758-9300",
            "fax_number": "404-758-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 RALPH DAVID ABERNATHY BLVD",
            "city": "ALTANTA",
            "state": "GA",
            "postal_code": "30310",
            "telephone_number": "404-758-9300",
            "fax_number": "404-758-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SANNAGAIL",
        "middle_name": "ANDRIGUE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "36349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00564682A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altanta, GA

Sources for this page

Verify at the official NPI Registry.