RILEY BROWN
NPI 1215791991
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Riley Brown's NPI number?

The NPI number for Riley Brown is 1215791991. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Riley Brown's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Riley Brown was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 February 12, 2024PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(228) 383-4826 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Riley Brown NPPES

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

RILEY BROWN (NPI 1215791991) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215791991

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameRILEY BROWN

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address1701 Seacrest DrGautier, MS 39553-7020 · (228) 383-4826

Phone(228) 383-4826

Sole ProprietorNo

Enumeration DateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1215791991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riley Brown 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.

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)