Latai E Grant Brown (NPI# 1679519573, PAC ID# 9032128657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1679519573 |
| PAC ID by PECOS | 9032128657 |
| Professional Enrollment ID | I20100824000085 |
| Full Name | Latai E Grant Brown |
| Address |
1700 Medical Way Snellville GA 30078-2195 |
| Gender | F |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 7708977277 | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| 11 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274-2615 | 7708977277 | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| 1700 Medical Way, Snellville, GA 30078-2195 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% |
| Street Address |
1700 MEDICAL WAY |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-2195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karine Gelin | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Donald C Spoon | Nurse Practitioner | Ga-i Medical Services PC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Haritha R Challa | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Donna C Arthur | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Kavita Kotte | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Charlotte Hayes | Diagnostic Radiology | South Gwinnett Radiology PC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Lashonda K Bloodsaw | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Micheal T Wright | Nurse Practitioner | Ga-i Medical Services PC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Dawit T Antonios | Hospitalist | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Chirag Shrikant Kulahalli | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | NEUROLOGY |
| City + Specialty | SNELLVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Latai E Grant 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.