Jacqueline Brown, NP - Medicare Nurse Practitioner in Villa Rica, GA

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Jacqueline Brown, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Villa Rica, Georgia. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 101 Quartz Dr Ste 103b, Villa Rica, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-3530.

Jacqueline Brown is licensed to practice in Georgia (license number APRN-NP298610) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144116419.

Contact Information

Jacqueline Brown, NP
101 Quartz Dr Ste 103b,
Villa Rica, GA 30180-3201
(770) 812-3530
(770) 812-3579

Map and Direction




Provider's Profile

Full NameJacqueline Brown
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location101 Quartz Dr Ste 103b, Villa Rica, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Brown graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1144116419
  • Provider Enumeration Date: 06/14/2025
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941708325
  • Enrollment ID: I20250814000208

Medical Identifiers

Medical identifiers for Jacqueline Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144116419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN-NP298610 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Brown allows following entities to bill medicare on her behalf.
Entity NameTmc-behavioral Health of West Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356795462
PECOS PAC ID: 2163714635
Enrollment ID: O20160705000347

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Brown is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Brown, NP
720 Hank Aaron Dr Se Unit 362,
Atlanta, GA 30315-1147

Ph: (501) 428-7422		Jacqueline Brown, NP
101 Quartz Dr Ste 103b,
Villa Rica, GA 30180-3201

Ph: (770) 812-3530

Reviews and Comments


Nurse Practitioner Nurses in Villa Rica, GA

Anson Chin,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 20 Herrell Rd, Villa Rica, GA 30180
Phone: 770-812-3283    
Ubi Okim,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 20 Herrell Rd, Villa Rica, GA 30180
Phone: 770-812-3530    Fax: 770-812-3531
Thomas Stuckey, CRNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 20 Herrell Rd, Villa Rica, GA 30180
Phone: 770-812-3294    
Jennifer Lee Roberts, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180
Phone: 770-214-2800    Fax: 770-214-2803
Mr. John Kamau Kiarie,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180
Phone: 770-812-3530    
William Thomas Carroll Iii, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180
Phone: 770-812-3000    
Mrs. Jennifer Yvonne Ford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Quartz Dr Ste 101, Villa Rica, GA 30180
Phone: 770-812-0445    Fax: 770-942-8800

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.