Individual provider Active NPI

Brooke Adele Chezem, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1245980903
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP000830 Issued in GA
Practice address
2300 Manchester Expy Ste 1003
Columbus, GA 31904-6877
Phone
(706) 323-5552
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 911963 MS
Family Nurse Practitioner 363LF0000X GAA-NP000830 GA Primary

Addresses

Primary practice location

2300 Manchester Expy Ste 1003
Columbus, GA 31904-6877

Mailing address

2300 Manchester Expy Ste 1003
Columbus, GA 31904-6877
Phone (706) 323-5552

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
I20250606000698 GA Practitioner - Nurse Practitioner 6608386909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Cardiology Associates PC 15 clinicians

Practice addresses (Care Compare)

2300 Manchester Expy
Suite 2001
Columbus, GA 31904-6877
Phone (706) 323-5552

Hospital & facility affiliations

  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
911963MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Cardiology Associates, PC Family CurrentSince May 1, 2025 Accepting new patients
SFH Columbus Cardiology, LLC Family CurrentSince May 1, 2025 Accepting new patients

Locations

2300 Manchester Expy
Ste 2001
Columbus, GA 31904
Phone (706) 323-5552

2300 Manchester Expy
Ste 1003
Columbus, GA 31904
Phone (706) 323-5552

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

Interoperability endpoints

  • Direct secure messaging: brooke.chezem.1@12580.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1245980903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 1003",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-323-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 1003",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-323-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEZEM",
        "first_name": "BROOKE",
        "middle_name": "ADELE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "911963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.