Provider Type Icon

MATTHEW KENNETH BROWN PA-C NPI 1720750797


NPI Information

NPI: 1720750797
Provider Name: MATTHEW KENNETH BROWN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

CLIA Number: 11D0256414

Address:
1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 712-2000
Get Directions

Matthew Kenneth Brown, PA-C is a medical physician assistant in Atlanta, GA with 2 years of experience. Matthew Kenneth Brown, PA-C NPI is 1720750797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-770
Phone: (404) 712-2000

The NPI 1720750797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D0256414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 3/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical11473GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.