Kevin D Brown (NPI# 1073631735, PAC ID# 5395845754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1073631735 |
| PAC ID by PECOS | 5395845754 |
| Professional Enrollment ID | I20101013000948 |
| Full Name | Kevin D Brown |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Address |
3340 Paddock Pkwy Suwanee GA 30024-9119 |
| Phone Number | 6786796210 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 9638343924 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110230 | EMORY JOHNS CREEK HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3340 Paddock Pkwy, Suwanee, GA 30024-9119 | 6786796210 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Hartman | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1630 |
| Hannah Butler Cummings | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3380 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Gorka Zurinaga | Internal Medicine | Northside Primary Care Professional Services,llc | 11785 Northfall Ln, Suite 505, Alpharetta, GA 30009-7961 |
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Lonnie Herzog | Internal Medicine | Northside Primary Care Professional Services,llc | 5670 Peachtree-dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342-4791 |
| Syed Wasi Rizvi | Internal Medicine | Northside Primary Care Professional Services,llc | 3400 A-old Milton Pkwy, Suite 200, Alpharetta, GA 30005-3707 |
| Street Address |
3340 PADDOCK PKWY |
| City | SUWANEE |
| State | GA |
| Zip | 30024-9119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Abul F Matin | Sleep Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Mary C Sams | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Tracy M Hall | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Geetha Soodini | Endocrinology | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Christopher Lee Parman | Family Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Zachary Wood | Physician Assistant | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Dawn D Smiley-byrd | Endocrinology | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Alan H Kramer | Rheumatology | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Akhil Vallabhaneni | Pulmonary Disease | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Find all physicians in zip 30024 | |||
| City | SUWANEE |
| Zip Code | 30024 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | SUWANEE + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Kevin D Brown.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.