DR. CRYSTAL LYNN BROWN (NPI# 1063431716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063431716 |
Entity Type | Individual |
Full Name | DR. CRYSTAL LYNN BROWN |
Credential | M.D. |
Practice Address |
701 Bluebird Blvd Fort Valley GA 31030-5085 |
Practice Telephone | 4788271971 |
Practice Fax Number | 4788271973 |
Mailing Telephone | 4788271971 |
Mailing Fax Number | 4788271973 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2013-02-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036348 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00554111A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619519220 | Crystal Diane Brown | Technician | 2770 S Maryland Pkwy Ste 512e, Las Vegas, NV 89109-1568 | 2019-10-15 |
1245763937 | Crystal Brown | Nurse Practitioner | 906 Citrone Ct, Valrico, FL 33594-4325 | 2017-04-10 |
1972965523 | Crystal P Brown | Case Manager/Care Coordinator | 24 Great Plains Rd, Arapahoe, WY 82510 | 2016-03-23 |
1093198814 | Crystal Brown | Specialist | 2340 106th Ave, Elmont, NY 11003-1401 | 2015-06-30 |
1871984120 | Crystal Brown | Physical Therapy Assistant | 99 Dad Burnhams Rd, Pine Grove, PA 17963-8383 | 2015-02-09 |
1831495035 | Crystal D Brown | Pharmacist | 221 W Colorado Blvd Ste 933, Dallas, TX 75208-2362 | 2011-02-04 |
1063494045 | Crystal D Brown | Nurse Practitioner | 107 Metker Trl, Ste A, Stanford, KY 40484-1049 | 2005-11-16 |
1215543152 | Crystal Marie Brown I | Behavior Technician | 466 Main St Ste Ll20, New Rochelle, NY 10801-6431 | 2020-09-16 |
1558970368 | Crystal P Brown | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
1538784129 | Crystal Monique Brown | Behavior Technician | 6859 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2020-06-10 |
Street Address |
701 BLUEBIRD BLVD |
City | FORT VALLEY |
State | GA |
Zip Code | 31030-5085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194066035 | Tameka Deanne Byrd | Family Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-03-01 |
1013257633 | Brown Family Practice, LLC | Clinic/Center | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-02-19 |
1861741100 | Jaekea Coar | Nurse Practitioner | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2012-08-31 |
1275775314 | The Medical Center of Peach County, Inc | Internal Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-06 |
1396987582 | Surgical Practice Facility | Surgery | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
1902345408 | Latrina Avant | Counselor | 164 Mahoney Lane, Fort Valley, GA 31030 | 2017-02-16 |
1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
Find all providers in zip 31030 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134387251 | George D Shoup | Family Medicine | 503 Bluebird Blvd, Post Office Box 1466, Fort Valley, GA 31030-5083 | 2008-05-27 |
1831119304 | Ggd, Inc. | Family Medicine | 201 Avera Dr, Fort Valley, GA 31030-5008 | 2006-07-20 |
1912975889 | Cynthia L Giles | Family Medicine | 555 Bluebird Blvd, Fort Valley, GA 31030-5083 | 2006-03-08 |
1194066035 | Tameka Deanne Byrd | Family Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-03-01 |
1548445356 | Elizabeth Gordon | Family Medicine | 601 Bluebird Blvd, Fort Valley, GA 31030-5082 | 2007-12-31 |
1659422616 | Robert L. Nelson | Family Medicine | 601 Bluebird Blvd, Fort Valley, GA 31030-5082 | 2007-01-16 |
1376613570 | Michael Wayne Early Sr. | Family Medicine | 201 Avera Dr, Fort Valley, GA 31030-5008 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
Find all providers with the same taxonomy |
City | FORT VALLEY |
Zip Code | 31030 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.