DWIGHT K BROWN (PA-C) – Physician Assistant, NPI 1124055140

DWIGHT K BROWN (PA-C) is a healthcare provider. based in Ft stewart, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 003871 (GA). The NPI Number for DWIGHT K BROWN (PA-C) is 1124055140

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DWIGHT K BROWN (PA-C)
NPI
1124055140
Phone
(912) 435-5073
Address
1061 HARMON AVE.
Enumeration Date
26 June 2006
Last Update Date
19 October 2010

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9122599474
Graduation Year
2000 (26 years ago)
PAC ID
2567656465
Group Practice PAC ID
6507285095
Professional Enrollment ID
I20101104001146
Address ID
GA304580847ST1176XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for DWIGHT K BROWN (PA-C)

  • Winn Army Community Hospital, 1061, Harmon Avenue, Fort Stewart, Liberty County, Georgia, 31314, United States

    WINN ARMY COMMUNITY HOSPITAL STE 1D03

    FT STEWART, GA 313145674

    Phone: (912) 435-5073

    Fax: (912) 355-5324

    Type: Mailing

  • Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States

    WINN ARMY COMMUNITY HOSPITAL STE 1D03

    FORT STEWART, GA 313145674

    Phone: (912) 435-5073

    Fax: (912) 355-5324

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-04

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
I20101104001146IPhysician AssistantGATBD

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 31314)

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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: 6507285095View full group profile
NameSpecialtyState
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

How do payers reference DWIGHT K BROWN (PA-C)?
For DWIGHT K BROWN (PA-C), use NPI 1124055140 as the unique 10-digit identifier.
Active or inactive — what applies to DWIGHT K BROWN (PA-C)?
You should see DWIGHT K BROWN (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to DWIGHT K BROWN (PA-C)?
DWIGHT K BROWN (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with DWIGHT K BROWN (PA-C)?
Directory geography for DWIGHT K BROWN (PA-C) centers on Ft Stewart, Georgia.
When was this NPI issued?
Enumeration for DWIGHT K BROWN (PA-C) is noted as June 26, 2006 where the registry provides it.

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