Active NPI
Brooke Goodson Watkins, AUD
- Audiologist
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 6002 Professional Pkwy Ste 100
Douglasville, GA 30134-5603 - Phone
- (770) 949-4200
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
6002 Professional Pkwy Ste 100
Douglasville, GA 30134-5603
Mailing address
3024 Hidden Forest CT Unit 3211
Marietta, GA 30066-3148
Phone (334) 648-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
148 Bill Carruth Pkwy
Hiram, GA 30141-3756
1790 Mulkey Rd
Austell, GA 30106-1122
4441 Atlanta Rd SE
Suite 204
Smyrna, GA 30080-6442
Phone (470) 610-0145
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
6002 Professional Pkwy
Suite 100
Douglasville, GA 30134-5603
Phone (770) 949-4200
699 Church Nest
Marietta, GA 30060-1131
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
4550 Cobb Parkway North NW
Ste 305
Acworth, GA 30101
Phone (770) 792-5275
6002 Professional Pkwy
Ste 100
Douglasville, GA 30134
Phone (770) 949-4200
1120 Wellstar Way
Ste 203
Holly Springs, GA 30114
Phone (470) 267-0160
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1164204988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 HIDDEN FOREST CT UNIT 3211",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663148",
"telephone_number": "334-648-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 PROFESSIONAL PKWY STE 100",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345603",
"telephone_number": "770-949-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "BROOKE",
"middle_name": "GOODSON",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.