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Priscilla Denise Brown

Physician β€’ Fort Gordon, GA

Active NPI 1417508995 Individual Practitioner Female Practitioner
Practice location in NPPES

38200 3rd Ave
Fort Gordon, GA 30905

Call 6785980022 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

38200 3rd Ave

Fort Gordon, GA 30905

Telephone 6785980022
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hephzibah, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

3551 Windsor Spring Rd Apt 55

Hephzibah, GA 308157158

Phone: 6785980022

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
βœ…
NPI Profile Active September 25, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 25, 2019

Registered at 38200 3RD AVE, FORT GORDON, GA 30905 (Tel: 6785980022)

πŸ“
Business Mailing Address (Initial Record) September 25, 2019

Registered at 3551 WINDSOR SPRING RD APT 55, HEPHZIBAH, GA 308157158 (Tel: 6785980022)

🏒
Secondary Practice Location Registered September 25, 2019

Additional practice office at 3551 Windsor Spring Rd Apt 55, Hephzibah, GA 308157158

πŸ‘€
Provider Name / Credentials (Initial Record) September 25, 2019

Recorded as PRISCILLA BROWN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2019

Prosthetic/Orthotic Supplier

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Initial NPI Registration & Enumeration September 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417508995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2019
Last Update: September 25, 2019
Sole Proprietor: Yes

Mailing Address

3551 Windsor Spring Rd Apt 55

Hephzibah, GA 308157158

Phone: 6785980022

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.