| Dr Kirk Tahama Brown, MD | |
|
898 College St, Monticello, GA 31064-1261 | |
| (800) 291-4020 | |
| (919) 419-7247 |
| Full Name | Dr Kirk Tahama Brown |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 37 Years |
| Location | 898 College St, Monticello, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326089475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 035388 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 35388 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Putnam General Hospital | Eatonton, GA | Hospital |
| Morgan Medical Center | Madison, GA | Hospital |
| Elbert Memorial Hospital | Elberton, GA | Hospital |
| Dorminy Medical Center | Fitzgerald, GA | Hospital |
| Dorminy Medical Center | Fitzgerald, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reid Emergency Group, Pc | 5991051872 | 11 |
| Madison Emergency Group, Pc | 2961829072 | 8 |
| Erx Group Llc | 9335037571 | 16 |
| Southland Consolidated Emergency Services Llc | 2860792066 | 68 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040819000058 |
| Entity Name | Erx Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
| Entity Name | Southland Bainbridge Hospitalist Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Consolidated Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Reid Emergency Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659872497 PECOS PAC ID: 5991051872 Enrollment ID: O20180706001919 |
| Entity Name | Madison Emergency Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770193419 PECOS PAC ID: 2961829072 Enrollment ID: O20200902003387 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirk Tahama Brown, MD 3779 Midvale Rd, Tucker, GA 30084-3237 Ph: (770) 491-7329 | Dr Kirk Tahama Brown, MD 898 College St, Monticello, GA 31064-1261 Ph: (800) 291-4020 |