Individual provider Active NPI

Karrington Elizabeth Brooks, PA-C

  • Physician Assistant
  • Lawrenceburg, TN
National Provider Identifier
1326697665
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4015 Issued in 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
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4015 TN Primary

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

910 W College St Ste A
Pulaski, TN 38478-3630
Phone (931) 363-0077

Other practice location 3

326 N Locust Ave Ste A
Lawrenceburg, TN 38464-3516
Phone (931) 762-5437

Other names 1

  • Karrington Elizabeth Wisdom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200921002101 TN Practitioner - Physician Assistant 4385062579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4015TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Hillside LLC CurrentSince Oct 4, 2021 Accepting new patients
Amg-Crockett, LLC Physician Assistant CurrentSince Aug 2, 2025 Accepting new patients
Amg-Hillside LLC CurrentSince Oct 4, 2021 Accepting new patients
Amg-Crockett, LLC CurrentSince Aug 2, 2025 Accepting new patients
Just 4 Kids Pediatrics Past Accepting new patients
Amg Crockett LLC Past Accepting new patients
Amg Hillside LLC Past Accepting new patients

Locations

192 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-2332

1255 E College St
Ste 500
Pulaski, TN 38478
Phone (931) 363-8055

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: iiu6340@yourcarecommunity.org
  • Direct secure messaging: karrington.brooks.1@19363.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1326697665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "address_2": "SUITE B",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "address_2": "SUITE B",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 W College St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384783630",
            "country_code": "US",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 W College St Ste A",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384783630",
            "country_code": "US",
            "telephone_number": "931-363-0077",
            "fax_number": "931-363-1129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 N Locust Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643516",
            "country_code": "US",
            "telephone_number": "931-762-5437",
            "fax_number": "931-762-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KARRINGTON",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRINGTON",
            "last_name": "WISDOM",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.