Timothy B Brown (NPI# 1255392346, PAC ID# 5193816957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1255392346 |
| PAC ID by PECOS | 5193816957 |
| Professional Enrollment ID | I20070808000239 |
| Full Name | Timothy B Brown |
| Organization Legal Name | SOUTHSIDE MEDICAL CENTER, INC. |
| Address |
1039 Ridge Ave Sw Atlanta GA 30315-1601 |
| Phone Number | 4046881350 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6901700723 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 4046881350 | SOUTHSIDE MEDICAL CENTER, INC. |
| Organization Legal Name | SOUTHSIDE MEDICAL CENTER, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Williams | Family Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Enoch Kotei | Internal Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Frazier B Todd | Podiatry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Katerin Ortiz | Optometry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Donna C Sinclair | Obstetrics/gynecology | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Curtis L Champion | Emergency Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| John W Houser | General Practice | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Barbara L Mcmillan-persaud | Family Practice | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| David Worth | Optometry | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Street Address |
1039 RIDGE AVE SW |
| City | ATLANTA |
| State | GA |
| Zip | 30315-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara L Mcmillan-persaud | Family Practice | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| David Worth | Optometry | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Burgess | Family Medicine | 362 Augusta Seave, Atlanta, GA 30315-1448 | |
| David M Williams | Family Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Enoch Kotei | Internal Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Frazier B Todd | Podiatry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Katerin Ortiz | Optometry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Donna C Sinclair | Obstetrics/gynecology | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Curtis L Champion | Emergency Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| John W Houser | General Practice | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Tunisia F Cornelius | Dermatology | 1039 Grant St Se, Suite A 11, Atlanta, GA 30315-2014 | |
| Ngozi Orabueze | Nurse Practitioner | 2049 Metropolitan Pkwy Sw, Atlanta, GA 30315-5926 | |
| Find all physicians in zip 30315 | |||
| City | ATLANTA |
| Zip Code | 30315 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ATLANTA + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.