Active NPI
Emily Lauren Brooks
- Registered Nurse
- Macon, GA
National Provider Identifier
1346840451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN268893
- Practice address
- 104 Ellis Way
Macon, GA 31216-6278 - Phone
- (478) 737-5288
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN268893 | GA | Primary |
Addresses
Primary practice location
104 Ellis Way
Macon, GA 31216-6278
Mailing address
104 Ellis Way
Macon, GA 31216-6278
Phone (478) 737-5288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN268893 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1346840451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ELLIS WAY",
"city": "MACON",
"state": "GA",
"postal_code": "312166278",
"telephone_number": "478-737-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ELLIS WAY",
"city": "MACON",
"state": "GA",
"postal_code": "312166278",
"telephone_number": "478-737-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "EMILY",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN268893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.