Katelyn Michelle Brooker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7410 Issued in GA

Practice address

4425 Paulsen St
Savannah, GA 31405-3662

Phone

(912) 355-6615

Fax

(912) 351-0645

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chatham Orthopaedic Associates PAGroup PAC ID 8022910306, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84 of 100Reported as group

Quality

65.06

Promoting interoperability

98

Improvement activities

40

Cost

83.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katelyn.brooker.1@18355.direct.athenahealth.com

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.

• Chatham Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1366495814
  Medicare reassignment Care Compare group NPD (past)
• Effingham Orthopedic Practice, LLC

  • Orthopaedic Surgery Physician
  • Rincon, GA
  • NPI 1013459551
  Medicare reassignment
• Chatham Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Pooler, GA
  • NPI 1598153900
  NPD
• Chatham Orthopaedic Associates, PA

  • Specialist
  • Savannah, GA
  • NPI 1710029137
  NPD
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Midway, GA
  • NPI 1821639758
  NPD (past)
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Bluffton, SC
  • NPI 1528451481
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1306375183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11705 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191711",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299273446",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262738",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4812 Bluffton Parkway",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425A Paulsen St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314053637",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1326 Eisenhower Dr Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063928",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Saint Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229584",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Gandy Dancer",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313248895",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Towne Center Blvd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224071",
            "country_code": "US",
            "telephone_number": "912-344-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Towne Park Dr W Ste 303-304",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265182",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKER",
        "first_name": "KATELYN",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan August Broker
• William James Bromberg, MD
• Jennifer Goodrich Bromley, M.D.
• Terri Brooke, MA, BCBA
• Jessica Brookens
• Jessica Jean Brooks, LP
• Madison Brooks
• Savannah Brooks
• Nicole Brothers, RBT
• Henry Brower, F.N.P

• Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.