Active NPI
Justin Brown, NP
- Family Nurse Practitioner
- Clarksville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 78818
- Practice address
- 201 S Walnut St
Clarksville, TX 75426-3737 - Phone
- (903) 427-5682
- NPI assigned
- Mar 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 78818 | KS | Primary |
Addresses
Primary practice location
201 S Walnut St
Clarksville, TX 75426-3737
Mailing address
201 S Walnut St
Clarksville, TX 75426-3737
Phone (903) 428-5682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 S Walnut St
Clarksville, TX 75426-3737
Phone (903) 427-5682
2850 Lewis LN
Paris, TX 75460-9378
2870 Lewis LN
Paris, TX 75460-9380
865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 737-1111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78818 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essent PRMC LP | Current | Accepting new patients | |
| PRMC Healthcare Group Inc | Current | Accepting new patients | |
| Essent PRMC LP | Current | Accepting new patients | |
| PRMC Healthcare Group Inc | Current | Accepting new patients | |
| Essent PRMC LP | Current | Accepting new patients |
Locations
201 S Walnut St
Clarksville, TX 75426
Phone (903) 427-5682
2224 Bonham St
Paris, TX 75460
Phone (903) 739-2299
865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111
820 Clarksville St
Paris, TX 75460
Phone (903) 737-3291
2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830
Interoperability endpoints
- justin.brown.1@1744.direct.athenahealth.com
- https://api.platform.athenahealth.com/fhir/r4
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.
-
- General Practice Physician
- Paris, TX
- NPI 1457514648
-
dba Paris Regional Medical Center
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
-
dba Paris Regional Medical Center
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
-
dba Clarksville Family Clinic
- Rural Health Clinic/Center
- Clarksville, TX
- NPI 1841808763
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Paris Regional Medical Center
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1912468109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S WALNUT ST",
"city": "CLARKSVILLE",
"state": "TX",
"postal_code": "754263737",
"telephone_number": "903-428-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S WALNUT ST",
"city": "CLARKSVILLE",
"state": "TX",
"postal_code": "754263737",
"telephone_number": "903-427-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JUSTIN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2022-10-11",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "78818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TX
- Rachana Balusu
- Sandra Michelle Batts, CNA
- Bradley G Bills, PT
- Brad Bills Physical Therapy Services
- Brad Bills Physical Therapy Services Inc (Advanced Physical Therapy)
- William Luther Bryson, PH
- Chambers County Public Hospital District No. 1 (Focused Care at Clarksville)
- Charles Michael Taylor II
- Clarksville I.S.D.
- Clarksville Nursing Center, L.P. (Clarksville Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.