Individual provider Active NPI

Dynette Brookins, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1083470637
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02240694 Issued in GA
Practice address
721 Riverside Drive LN
Macon, GA 31201-2658
Phone
(478) 259-3435
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F02240694 GA
Family Nurse Practitioner 363LF0000X F02240694 GA Primary

Addresses

Primary practice location

721 Riverside Drive LN
Macon, GA 31201-2658

Mailing address

721 Riverside Drive LN
Macon, GA 31201-2658

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
I20250228002069 GA Practitioner - Nurse Practitioner 4183144561 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F02240694GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Plus Urgent Care CurrentSince Dec 9, 2024 Accepting new patients
Atlanta Plus Primary Care LLC CurrentSince Dec 9, 2024 Accepting new patients

Locations

2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051

6238 Turner Lake Rd SW
Covington, GA 30014
Phone (470) 971-2118

8095 Roswell Rd
Sandy Springs, GA 30350
Phone (404) 786-8581

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1083470637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIVERSIDE DRIVE LN",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIVERSIDE DRIVE LN",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012658",
            "telephone_number": "478-259-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKINS",
        "first_name": "DYNETTE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "F02240694",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F02240694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.