ZACKARY RANDALL BROWN – Nurse Practitioner, NPI 1639826373

ZACKARY RANDALL BROWN is a healthcare provider. based in Griffin, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. NCO-000001 (GA). The NPI Number for ZACKARY RANDALL BROWN is 1639826373

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ZACKARY RANDALL BROWN
NPI
1639826373
Phone
(770) 229-1000
Address
601 S 8th St
Enumeration Date
2 March 2022
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2021 (5 years ago)
PAC ID
3072995729
Group Practice PAC ID
0446157218
Professional Enrollment ID
I20220728000668
Address ID
GA300142566CO5126XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

Provider Addresses for ZACKARY RANDALL BROWN

  • 601 S 8th St

    Griffin, GA 302244213

    Phone: (770) 229-1000

    Type: Location

  • 601 S 8TH ST

    GRIFFIN, GA 302244213

    Phone: (770) 229-1000

    Type: Location

  • 45 PINE TREE DR

    MCDONOUGH, GA 302527147

    Phone: (677) 255-7149

    Type: Mailing

  • 5126 HOSPITAL DR NE

    COVINGTON, GA 300142566

    Phone: (678) 255-7149

    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: 2022-07-28

PECOS data refreshed: 2026-06-15

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
I20220728000668INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making7471$0
99285Emergency department visit with high level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 30224)

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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: 0446157218View full group profile
NameSpecialtyState
-GA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerAL
Physician AssistantGA

Reviews

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Frequently asked questions

Is there an official ID for ZACKARY RANDALL BROWN in U.S. healthcare records?
The official identifier for ZACKARY RANDALL BROWN is NPI 1639826373.
Is there an active status for ZACKARY RANDALL BROWN?
For scheduling context, ZACKARY RANDALL BROWN is shown as active in the registry.
What expertise is attributed to ZACKARY RANDALL BROWN?
ZACKARY RANDALL BROWN's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ZACKARY RANDALL BROWN located near Griffin?
ZACKARY RANDALL BROWN currently maps to Griffin, Georgia in this extract.
Can I trust this NPI listing for ZACKARY RANDALL BROWN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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