Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TOMMY LEE BROWN JR., PA
DeactivatedTOMMY LEE BROWN JR., PA is a Physician Assistant healthcare provider located in FORT BENNING, Georgia. NPI 1073020400 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · FORT BENNING, GA
This NPI has been deactivated.
The record was deactivated on May 25, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1073020400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2018 (3.3753424657534 yrs)
- Last Updated
- Apr 30, 2025
- Deactivated
- May 25, 2021
- Licenses
-
M5024678 (GA)1198850 (GA)
Practice Information
- Address
-
6600 VAN AALST BLVDMARTIN ARMY COMMUNITY HOSPITALFORT BENNING, GA, 31905Browse GA providers · Browse ZIP 31905
- Phone
- 8082954601
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT BENNING, GA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM LEWIS RANDALL | PA-C | 1285625707 |
| MRS. CORELLA JAMES-JOHNSON | PA-C | 1730114745 |
| MR. STEPHEN WAYNE WARD | PA-C | 1003917121 |
| MR. REGINALD J PIERCE | PA-C | 1043311137 |
| MR. ROBERT JAMES PAWLOSKI JR. | PA-C | 1548351562 |
| MRS. KIM DENISE LATTIMORE | PA-C | 1366533986 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.