Active NPI
Kenneth Brown II
- Community/Behavioral Health Agency
- Suwanee, GA
National Provider Identifier
1992570220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024-7290 - Phone
- (678) 731-7727
- NPI assigned
- Nov 16, 2023
- Last updated
- Nov 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LA | Primary |
Addresses
Primary practice location
2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024-7290
Mailing address
1658 Autumn Sage Dr
Dacula, GA 30019-7278
Phone (404) 707-1953
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geralds Capital LLC | Community/Behavioral Health | Current | Accepting new patients |
Locations
2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (770) 962-4043
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.
-
- Case Manager/Care Coordinator
- Suwanee, GA
- NPI 1366025652
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1992570220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 AUTUMN SAGE DR",
"city": "DACULA",
"state": "GA",
"postal_code": "300197278",
"telephone_number": "404-707-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2576 LAWRENCEVILLE SUWANEE RD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247290",
"telephone_number": "678-731-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KENNETH",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.