DR. GAVIN FLEMING BROWN (NPI# 1710164975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710164975 |
| Entity Type | Individual |
| Full Name | DR. GAVIN FLEMING BROWN |
| Credential | M.D. |
| Practice Address |
470 Northside Cherokee Blvd Ste 490 Canton GA 30115-8015 |
| Mailing Address |
6600 Peachtree Dunwoody Rd Ste 325 Atlanta GA 30328-6773 |
| Practice Telephone | 6785382167 |
| Practice Fax Number | 6785382165 |
| Mailing Telephone | 6785382167 |
| Mailing Fax Number | 6785382165 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
001412 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6135 Barfield Rd Ste 200, Atlanta, GA 303284308 | 4042568500 | 4042568506 |
| Street Address |
470 NORTHSIDE CHEROKEE BLVD STE 490 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760528434 | Heather J Hall | Physician Assistant | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | 2007-01-30 |
| 1821470550 | Natanel Leibu | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 | 2015-06-18 |
| 1508155854 | Radhika Sampat | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689916199 | Precision Diagnostics LLC | Psychiatry & Neurology | 4153 Monarch Ave, Canton, MI 48188-7207 | 2013-03-22 |
| 1407006802 | Comprehensive Neurology of North Georgia, PC | Psychiatry & Neurology | 203 Oakside Ln, Suite A, Canton, GA 30114-6407 | 2008-09-23 |
| 1255382818 | Sailen K. Mukerjee | Psychiatry & Neurology | 7288 N Sheldon Rd, Canton, MI 48187-2150 | 2006-05-16 |
| 1922058023 | Faiz Ehsan Niaz | Psychiatry & Neurology | 203 Oakside Lane, Suite A, Canton, GA 30114 | 2006-05-11 |
| 1699129288 | Lane Andrew Fowler | Psychiatry & Neurology | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2016-04-20 |
| 1407221658 | Premier Neurological Care | Psychiatry & Neurology | 145 Riverstone Ter, Canton, GA 30114-5317 | 2015-12-14 |
| 1821470550 | Natanel Leibu | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 | 2015-06-18 |
| 1336553353 | Eric Bracken | Psychiatry & Neurology | 2600 6th St Sw, Canton, OH 44710-1702 | 2014-06-18 |
| 1265774566 | Damien Eugene Earl | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718 | 2013-03-25 |
| 1225370752 | Hamza Tarek Malek | Psychiatry & Neurology | 6119 Us Highway 11, Canton, NY 13617-3991 | 2013-03-22 |
| Find all providers in CANTON | ||||
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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.