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

Ryan Jacob Brown

Individual provider Family Nurse Practitioner · NPI 1124824347

Ryan Jacob Brown is a Nurse Practitioner in Newnan, Georgia. Qualified in 2024, 2 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

605 Buddy West Rd
Newnan, GA 30263-5916
Phone: (404) 610-7390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP239774 (GA)

Record details

NPI number1124824347
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address605 Buddy West Rd, Newnan, GA 30263-5916

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Newnan