Karrington Elizabeth Brooks, PA-C
Individual provider Active NPI Physician Assistant · Lawrenceburg, TN
NPI 1326697665 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1326697665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4015 (TN)
- Practice address
- 326 N Locust Ave
Suite B
Lawrenceburg, TN 38464-3516 - Phone
- (931) 762-9797
- Fax
- (931) 762-9798
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amg-Crockett, LLC
Practice addresses (Care Compare)
1275 E College St
Pulaski, TN 38478-4545
184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-5115
190 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-6571
192 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-2332
Hospital & facility affiliations
- Southern Tennessee Regional Health System Lawrence
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200921002101 | TN | Practitioner - Physician Assistant | 4385062579 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4015 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Hillside LLC | Current |
Accepting new patients | |
| Amg-Crockett, LLC | Current |
Accepting new patients | |
| Amg-Crockett, LLC | Physician Assistant | Current |
Accepting new patients |
| Amg-Hillside LLC | Current |
Accepting new patients | |
| Amg -Southern Tennessee LLC | Past | Accepting new patients | |
| Amg Hillside LLC | Past | Accepting new patients | |
| Just 4 Kids Pediatrics | Past | Accepting new patients |
Locations
192 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-2332
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
1255 E College St
Ste 500
Pulaski, TN 38478
Phone (931) 363-8055
204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514
Interoperability endpoints
- karrington.brooks.1@19363.direct.athenahealth.com
- iiu6340@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 4015 | TN | Yes |
Addresses
Primary practice location
326 N Locust Ave
Suite B
Lawrenceburg, TN 38464-3516
Mailing address
326 N Locust Ave
Suite B
Lawrenceburg, TN 38464-3516
Phone (931) 762-9797
Other practice location 1
912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797
Other practice location 2
326 N Locust Ave Ste A
Lawrenceburg, TN 38464-3516
Phone (931) 762-5437
Other practice location 3
910 W College St Ste A
Pulaski, TN 38478-3630
Phone (931) 363-0077
Other names
- Karrington Elizabeth Wisdom
Other providers in Lawrenceburg, TN
- Brewer Medical Services, Inc.
- Julie Leigh Brewer
- Sheryl Marie Brice-Wiggins
- Josh Brindley
- Jeannie Brooks
- Kevin Lee Brooks
- Brandy M Brown
- Chaley Elizabeth Brown
- Cindy Brown
- Cynthia Ann Brown
All providers in Lawrenceburg, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.