Individual provider Active NPI

Robin Ann Brackett, NP

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1073670709
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN101397 Issued in GA
Practice address
3820 Medical Park Dr.
Georgia Lung Associates PC.
Austell, GA 30106-1110
Phone
(770) 948-6041
Fax
(770) 948-7994
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 178191 CO
Family Nurse Practitioner 363LF0000X RN101397 GA Primary

Addresses

Primary practice location

3820 Medical Park Dr.
Georgia Lung Associates PC.
Austell, GA 30106-1110

Mailing address

3820 Medical Park Dr.
Georgia Lung Associates PC.
Austell, GA 30106-1110
Phone (770) 948-6041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001051 GA Practitioner - Nurse Practitioner 8022095652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1968 Peachtree NW Rd
Atlanta, GA 30309-1281
Phone (404) 605-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
178191COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Jan 9, 2018 Accepting new patients
Maxa Internal Medicine Associates PC CurrentSince Aug 10, 2012 Accepting new patients
Northside Emergency Associates, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

3820 Medical Park Dr
Austell, GA 30106
Phone (770) 948-5409

3505 Duluth Park Ln
Ste 400
Duluth, GA 30096
Phone (678) 579-3180

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEDBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1073670709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 MEDICAL PARK DR.",
            "address_2": "GEORGIA LUNG ASSOCIATES PC.",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061110",
            "telephone_number": "770-948-6041",
            "fax_number": "770-948-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 MEDICAL PARK DR.",
            "address_2": "GEORGIA LUNG ASSOCIATES PC.",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061110",
            "telephone_number": "770-948-6041",
            "fax_number": "770-948-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "ROBIN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "178191",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN101397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.