KELLEASE CW BROWN MD
NPI 1316109879
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 396-5682 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1316109879
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameKELLEASE CW BROWNCredential: MD
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address12620 Beach Blvd Ste. 3, #124Jacksonville, FL 32246-8296
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1316109879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in FL · ME119244
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
800 PRUDENTIAL DR, Jacksonville, FL 32207

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8527211390
PECOS Enrollment IDI20140812000967
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.

Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
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.

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 21 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.