Individual provider Active NPI

Damaris Amber Brooks

  • Advanced Practice Midwife
  • Elizabeth City, NC
National Provider Identifier
1174228951
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000992 Issued in NC
Practice address
905 Thunder Rd Ste 240
Elizabeth City, NC 27909-7672
Phone
(252) 334-0555
Fax
(844) 494-0230
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 000992 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

905 Thunder Rd Ste 240
Elizabeth City, NC 27909-7672

Mailing address

905 Thunder Rd Ste 240
Elizabeth City, NC 27909-7672
Phone (252) 334-0555

Other practice location 1

874 Union Ave Rm 325
Memphis, TN 38103-3514
Phone (901) 448-6128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204004518 NC Practitioner - Certified Nurse Midwife (CNM) 5092208215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

905 Thunder Rd
Elizabeth City, NC 27909-7672
Phone (252) 334-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000992NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Dec 1, 2025 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

905 Thunder Rd
Ste 240
Elizabeth City, NC 27909
Phone (252) 334-0555

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1174228951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 240",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0555",
            "fax_number": "844-494-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 240",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0555",
            "fax_number": "844-494-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Union Ave Rm 325",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033514",
            "country_code": "US",
            "telephone_number": "901-448-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DAMARIS",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "000992",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.