JACQUELINE BROWN NP
NPI 1144116419
Nurse Practitioner - Psychiatric/Mental Health in Villa Rica, GA

Q: What is Jacqueline Brown's NPI number?

The NPI number for Jacqueline Brown is 1144116419. It was assigned to this individual provider in the NPPES registry on June 14, 2025.

Q: What is Jacqueline Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Brown was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2025PECOS Enrolled

101 QUARTZ DR STE 103B, VILLA RICA, GA 30180(770) 812-3530(770) 812-3579 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Oct 10, 2025, Jun 14, 2025 (3 updates tracked since 2025).

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About Jacqueline Brown Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE BROWN NP (NPI 1144116419) is an individual psychiatric/mental health provider in Villa Rica, Georgia, licensed in Georgia (APRN-NP298610) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144116419

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELINE BROWNCredential: NP

Location Address101 QUARTZ DR STE 103BVilla Rica, GA 30180-3201

Mailing Address720 Hank Aaron Dr Se Unit 362Atlanta, GA 30315-1147 · (501) 428-7422

Phone(770) 812-3530

Fax(770) 812-3579

Sole ProprietorNo

Enumeration DateJune 14, 2025

Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1144116419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · APRN-NP298610

101 QUARTZ DR STE 103B, Villa Rica, GA 30180

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Brown Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc-Behavioral Health Of West Georgia

Same address

Geriatric Psychiatry

101 QUARTZ DR STE 103B
Villa Rica, GA 30180

Reassigned Medicare billing, Georgia enrollment
73 clinicians in this Medicare group

NPI 1356795462 (770) 812-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. APRIL MONIQUE MCCONICO

Counselor