Christopher Andrew Brown, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Columbus, MS
NPI 1942924154 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1942924154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 905606 (MS)
- Practice address
- 56 Dutch LN
Columbus, MS 39702-5500 - Phone
- (662) 329-3808
- Fax
- (662) 329-3873
- NPI assigned
- Sep 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dutch Medical Clinics, Inc
Practice addresses (Care Compare)
56 Dutch LN
Columbus, MS 39702-5500
Phone (662) 329-3808
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221019002342 | MS | Practitioner - Nurse Practitioner | 1355717158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905606 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dutch Medical Clinics, Inc | Current |
Accepting new patients | |
| Dutch Medical Clinics, Inc. | Past | Accepting new patients |
Locations
56 Dutch Ln
Columbus, MS 39702
Phone (662) 329-3808
3600 Bluecutt Rd
Columbus, MS 39705
Phone (662) 570-4770
3600 Bluecutt Rd
Ste 101
Columbus, MS 39705
Phone (662) 570-4770
3654B New Hope Rd
Columbus, MS 39702
Phone (662) 329-1488
Interoperability endpoints
- christopher.brown.1@17762.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905606 | MS | Yes |
Addresses
Primary practice location
56 Dutch LN
Columbus, MS 39702-5500
Mailing address
3600 Bluecutt Rd Ste 1
Columbus, MS 39705-1303
Phone (662) 570-4770
Other providers in Columbus, MS
- Daniel Brosky
- Alaina Emry Brown
- Bradley P. Brown
- Brett O Brown
- Charles Brown
- Jordyn Shelby Brown
- Robert Lyon Brown
- Tyerria Bryant
- BTB Orthotic and Prosthetic Solutions LLC
- Kari Buchanan
All providers in Columbus, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.