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

Paulette Beverly Brown

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598099681

Paulette Beverly Brown is a Nurse Practitioner in Clinton, South Carolina. Qualified in 2014, 12 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
12
Licensed in
GA, SC
In the registry since
2009
Specialties on file
2

Practice location Address checks out

939 Springdale Dr
Clinton, SC 29325-7266
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 27110 (SC)
Registered Nurse Taxonomy 163W00000X · Licence RN104253 (GA)

Record details

NPI number1598099681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2009
Last updated in NPPESOctober 18, 2025
Certification dateOctober 18, 2025
Mailing address304 Wheatfield Ct, Travelers Rest, SC 29690-7953

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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