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DR. CHARLES L BROWN III MD
NPI 1851307755
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
95 COLLIER RD NW, SUITE 2065, ATLANTA, GA 30309(404) 605-2800(404) 720-0911 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Feb 19, 2016, Jan 15, 2016 (3 updates tracked since 2016).

About Dr. Charles L Brown Iii Md NPPES

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

DR. CHARLES L BROWN III MD (NPI 1851307755) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (28383) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1984).

NPPES Registry Identity

NPI1851307755
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CHARLES L BROWN IIICredential: MD
Location Address95 COLLIER RD NW, SUITE 2065Atlanta, GA 30309-1796
Mailing Address95 Collier Rd Nw, Suite 2065Atlanta, GA 30309-1796 · (404) 605-2800 · Fax (404) 720-0911
Phone(404) 605-2800
Fax(404) 720-0911
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1851307755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 28383
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 028383 (GA)
95 COLLIER RD NW, Atlanta, GA 30309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Charles L Brown Iii 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 ID2567447923
PECOS Enrollment IDI20040621000625
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services247 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
208 services175 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
47 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services29 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
16%297 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
63%158 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
7%42 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%297 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
61%299 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%285 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
65%81 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HAROLD D. CARLSON MD
Internal Medicine (Interventional Cardiology)
95 COLLIER RD NW, SUITE 2065
ATLANTA, GA 30309
Fulton County (404) 605-2800
DAVID FRANCIS MELDRUM L.D.O.
Technician/Technologist (Optician)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 351-2220
DR. THOMAS S CLAIBORNE JR. M.D.
Internal Medicine (Gastroenterology)
95 COLLIER RD NW, SUITE 4055
ATLANTA, GA 30309
Fulton County (404) 355-3200
DR. ERIC LOUIS SCEUSI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
95 COLLIER RD NW, SUITE 2055
ATLANTA, GA 30309
Fulton County (404) 605-5699
JENINA PEREZ LAGASCA NP
Nurse Practitioner (Adult Health)
95 COLLIER RD NW, SUITE 5015
ATLANTA, GA 30309
Fulton County (404) 605-5699
IRIS MONTILLA-AFRIYE
Registered Nurse
95 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (646) 228-2601
ARUN KRISHNAMOORTHY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 605-5140
DR. KEVIN MICHAEL MCGILL M.D.
Surgery
95 COLLIER RD NW, SUITE 6015
ATLANTA, GA 30309
Fulton County (404) 351-5959

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 Charles Brown's NPI number?

The NPI number for Charles Brown is 1851307755. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Charles Brown located?

Charles Brown practices at 95 Collier Rd NW Suite 2065, Atlanta, GA 30309. The listed phone number is (404) 605-2800.

What is Charles Brown's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Charles Brown enrolled in Medicare?

Yes. Charles 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.

What insurance does Charles Brown accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Charles Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Brown affiliated with any hospitals?

According to CMS data, Charles Brown is affiliated with Piedmont Hospital, Piedmont Eastside Medical Center, Piedmont Fayette Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Charles Brown was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.