DEIDRA A. BROWN-BRINSON (APRN) – Adult Health Nurse Practitioner, NPI 1124024203

DEIDRA A. BROWN-BRINSON (APRN) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP1264352 (FL). The NPI Number for DEIDRA A. BROWN-BRINSON (APRN) is 1124024203

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRA A. BROWN-BRINSON (APRN)
NPI
1124024203
Phone
(239) 274-8200
Address
PO BOX 102222
Enumeration Date
23 June 2005
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613664100
Graduation Year
1991 (35 years ago)
PAC ID
7911810247
Group Practice PAC ID
2567356058
Professional Enrollment ID
I20031111000830
Address ID
FL334102824PA3401XBLVD322
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DEIDRA A. BROWN-BRINSON (APRN)

  • PO BOX 102222

    ATTN: CREDENTIALING DEPARTMENT

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Type: Mailing

  • 3401 PGA BLVD STE 200

    WEST PALM BEACH, FL 334102824

    Phone: (561) 366-4100

    Fax: (561) 776-8801

    Type: Location

  • Veronica S Shoemaker Blvd, Fort Myers, Lee County, Florida, 33916, United States

    ATTN: CREDENTIALING DEPARTMENT

    FORT MYERS, FL 339162216

    Phone: (239) 274-8200

    Fax: (239) 278-3350

    Type: Mailing

  • Good Samaritan Hospital, 1309, North Flagler Drive, West Palm Beach, Palm Beach County, Florida, 33401, United States

    WEST PALM BEACH, FL 334013406

    Phone: (561) 366-4100

    Fax: (561) 366-4189

    Type: Location

  • 1037 S State Road 7 Ste 303

    Wellington, FL 334146140

    Phone: (561) 366-4100

    Fax: (866) 326-6396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 462 Open Payments records for all available years, with a total value of $9,411.

Total Amount is formed as General ($9,411) + Research ($0) + Ownership ($0) = $9,411.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($867).

Total Amount

$9,411

General + Research + Ownership

Payments

462

Total payment records

General Amount

$9,411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031111000830INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567356058View full group profile
NameSpecialtyState
Medical OncologyFL
Medical Oncology, Hematology/OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
H E M A T O L O G Y/ O N C O L O G YFL
Internal Medicine, Hematology/OncologyFL
-GA
Hematology/Oncology, Internal MedicineGA
H E M A T O L O G Y/ O N C O L O G YFL
Hospice/Palliative Care, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to DEIDRA A. BROWN-BRINSON (APRN)?
The federal identifier for DEIDRA A. BROWN-BRINSON (APRN) is NPI 1124024203.
Is DEIDRA A. BROWN-BRINSON (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DEIDRA A. BROWN-BRINSON (APRN)?
The page reflects Adult Health Nurse Practitioner for DEIDRA A. BROWN-BRINSON (APRN). Clinical services aligned with this taxonomy classification.
Where is DEIDRA A. BROWN-BRINSON (APRN)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for DEIDRA A. BROWN-BRINSON (APRN).
What if Atlanta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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