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Deactivated NPI 1871591412 Deactivated / Inactive NPI Male Practitioner

Dr. Jimmy Sheppard Brown , MD

Specialist • Duluth, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jimmy Brown has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2005
NPI Deactivation Date December 06, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jimmy Brown, MD was a registered Specialist practicing in Duluth, GA. Throughout an active medical career spanning 17 years, Dr. Brown provided care at the practice location at 10700 MEDLOCK BRIDGE RD until profile deactivation on 2022-12-06.

Practice Location & Contact Primary Location

Practice Address

10700 Medlock Bridge Rd
Ste 104

Duluth, GA 300978456

Telephone 7704769885
Fax 7704768482
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Duluth, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 012429

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1225036890

Doctor of Medicine (M.D.)

NPI 1376541144

Doctor of Medicine (M.D.)

NPI 1578561346

Doctor of Medicine (M.D.)

Kari Vance , NP

Nurse Practitioner - Family

NPI 1689904229

Nurse Practitioner

NPI 1962400739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 06, 2022

Record deactivated on December 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10700 MEDLOCK BRIDGE RD, STE 104, DULUTH, GA 300978456 (Tel: 7704769885)

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Updated Business Mailing Address July 08, 2007

Registered at 10700 MEDLOCK BRIDGE RD, STE 104, DULUTH, GA 300978456 (Tel: 7704769885)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JIMMY BROWN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #012429 in GA)

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Initial NPI Registration & Enumeration July 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871591412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2005
Last Update: July 08, 2007
Deactivation Date: December 06, 2022

Mailing Address

10700 Medlock Bridge Rd, Ste 104

Duluth, GA 300978456

Phone: 7704769885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.