KELLEASE CW BROWN MD
NPI 1316109879
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL
About Kellease Cw Brown Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEASE CW BROWN MD (NPI 1316109879) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME119244) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellease Cw Brown Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kellease Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 428 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kellease Brown's NPI number?
The NPI number for Kellease Brown is 1316109879. It was assigned to this individual provider in the NPPES registry on June 26, 2008.
Where is Kellease Brown located?
Kellease Brown practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.
What is Kellease Brown's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Kellease Brown enrolled in Medicare?
Yes. Kellease Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kellease Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellease Brown reassigns Medicare benefits to Emergency Physicians Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellease Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kellease Brown was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kellease Cw Brown, MD · NPI 1316109879
Pediatric Emergency Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 26, 2008.
## Identity
- **NPI:** 1316109879 (Entity type: Individual)
- **Enumerated:** June 26, 2008
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** ME119244 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 PRUDENTIAL DR, Jacksonville, FL 32207-8202
- **Phone:** (904) 396-5682
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Physicians Inc (NPI 1285686675, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** November 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316109879) · Data from the CMS NPPES public registry.