Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cicely Kinisha Brown, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578301891

Cicely Kinisha Brown, NP is a Nurse Practitioner in Fayetteville, Georgia. Qualified in 2023, 3 years ago. Practices with Avant Behavioral Consultants Inc, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

805 Lanier Ave E
Fayetteville, GA 30214-2204
Phone: (770) 694-6349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NCO-000003 (GA)

Record details

NPI number1578301891
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 19, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Avant Behavioral Consultants Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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