DR. SHAMAYNE MARIAH BROWN


Address: 300 Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30906-5650
Phone: 7067878088

DR. SHAMAYNE MARIAH BROWN (NPI# 1487063913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487063913
Entity Type Individual
Full Name DR. SHAMAYNE MARIAH BROWN
Credential PHD
Practice Address 300 Hospital Road
Dwight David Eisenhower Army Medical Center
Fort Gordon
GA 30906-5650
Mailing Address 133 Grindle Shls
Grovetown
GA 30813
Practice Telephone 7067878088
Mailing Telephone 7605253361
Enumeration Date 2014-08-08
Last Update Date 2019-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 300 HOSPITAL ROAD
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
City FORT GORDON
State GA
Zip Code 30906-5650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144210626 David Seth Kauvar Surgery 300 Hospital Road, Surgery Clinic, Fort Gordon, GA 30905-5650 2005-10-25
1326438300 Cris Hightower Registered Nurse 300 Hospital Road, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 2015-01-29
1104119403 Jared Allan Sutton Emergency Medicine 300 Hospital Road, Emergency Department, Fort Gordon, GA 30905-5650 2011-05-18
1225272909 Barbara A Schiefer Occupational Therapist 300 Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5950 2009-04-27
1831346139 Michael John Allen Emergency Medicine 300 Hospital Road, Fort Gordon, GA 30905-5650 2008-08-19
1720253776 Theodore A Artis Jr. Physical Therapy Assistant 300 Hospital Road, Eisenhower Army Medical Center, Attn :credentials, Fort Gordon, GA 30905-5650 2008-04-29
1932308467 Shankar Keralapura Sridhara Otolaryngology 300 Hospital Road, Eent Clinic, Fort Gordon, GA 30905-5650 2007-07-14
1316089907 Edward James Sonak Optometrist 300 Hospital Road, Optometry Clinic, Fort Gordon, GA 30905-5650 2007-02-12
1295899631 Matthew Vernon Fargo Family Medicine 300 Hospital Road, Fort Gordon, GA 30905-5650 2006-12-20
1982772745 Scott Jay Lawlis Physician Assistant 300 Hospital Road, Eisenhower Army Medical Center Commumity Care Clinic, Fort Gordon, GA 30905-5650 2006-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255969432 Barton Chapel Dental Group, LLC Dentist 2755 Barton Chapel Road, Augusta, GA 30906 2020-04-01
1255897419 Pediatric Mobility Innovations Durable Medical Equipment & Medical Supplies 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 2019-02-13
1023539731 Kristy Lee Gibbs Registered Nurse 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 2017-07-03
1194186031 Clifton Nane Williams Counselor 3230 Hampton Circle, Augusta, GA 30906 2016-03-18
1376929661 Catherine A. Ganzy Social Worker 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 2015-08-10
1962810358 Fatemeh Azadeh Paziraei Dentist 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 2014-07-29
1568809770 Brandon Jennings Occupational Therapy Assistant 2388 Old Mcduffie Rd, Augusta, GA 30906 2013-05-29
1811266646 Eddie P Johnson IIi, Dmd, PC Preferred Provider Organization 2755 Barton Chapel Rd, Augusta, GA 30906 2011-12-23
1366739021 Kerensa A Cooks Registered Nurse 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 2011-07-01
1265737423 Pidcock Chiropractic, Inc. Chiropractor 3028 Peach Orchard Rd., Augusta, GA 30906 2011-01-20
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083230387 William Edward Bane Student in an Organized Health Care Education/Training Program 320 W Hospital Rd, Fort Gordon, GA 30905-5741 2020-06-23
1972125763 Mark Edward Gartner Student in an Organized Health Care Education/Training Program Internal Medicine Residency, Dwight D. Eisenhower Army, Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2020-05-14
1184284598 Nicholas James Carlin Student in an Organized Health Care Education/Training Program Medicine, Dwight David Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2019-06-18
1700446341 Nicholas John Carter Student in an Organized Health Care Education/Training Program Eisenhower Army Medical Center Gme, 300 E. Hospital Rd, Fort Gordon, GA 30905-5650 2019-06-17
1306405931 Kevin Ryan Patrick Student in an Organized Health Care Education/Training Program Interserive Physician Assitant Program, 300 East Hospital Road, Fort Gordon, GA 30905-5670 2019-06-07
1366009805 Briana Francina Krieger Student in an Organized Health Care Education/Training Program 300 East Hospical Road, Fort Gordon, GA 30905-5650 2019-05-21
1639735822 Jon Thomas Heald Student in an Organized Health Care Education/Training Program Internal Medicine, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 2019-05-14
1487218269 David Keith Mecham Student in an Organized Health Care Education/Training Program Internal Medicine, Dwight David Eisenhower Army Medical, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2019-04-26
1740765544 Jesse Goldblatt Student in an Organized Health Care Education/Training Program Clinical Psychology Internship Program, Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2018-09-27
1902390065 Rafael Jacob Kaplan Student in an Organized Health Care Education/Training Program Ty, Dwight David Eisenhower Army Medical Center, 300 East Hospital Rd, Fort Gordon, GA 30905-5650 2018-06-21
Find all providers in FORT GORDON

Competitor

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City FORT GORDON
Zip Code 30906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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