NPI age
12 years
Enumerated 2014-01-15
● Active
Type 1 · Individual
Stacy Brown, OT
Brown is 1 of 1 clinical nurse specialist providers in Tifton and 1 of 2 in Georgia.
Primary specialty
Clinical Nurse Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-01-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2 active clinical nurse specialist providers in Georgia.
NPI age
12 years
↓ 4 yr below median (16 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Practice location
901 18th St E
Tifton, GA 317943648
Mailing address
901 18th St E
Tifton, GA 317943648
Specialties
-
Clinical Nurse Specialist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | OTA001175 | LICENSE NUMBER |
Practice context
Part of a multi-provider practice. 169 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.