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

Zackary Randall Brown

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1639826373

Zackary Randall Brown is a Nurse Practitioner in Covington, Georgia. Qualified in 2021, 5 years ago. Practices with Inphynet Primary Care Physicians Southeast PC, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone: (678) 255-7149
Show map & directions

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

Additional practice locations (1)

  • 601 S 8th St, Griffin, GA 30224-4213 — (770) 229-1000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN259795 (GA)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence NCO-000001 (GA)

Record details

NPI number1639826373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Inphynet Primary Care Physicians Southeast Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare