Individual provider Active NPI

Ashley Brooks, MD

  • Family Medicine Physician
  • Ponte Vedra, FL
National Provider Identifier
1366029126
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME166913 Issued in FL
Practice address
351 Town Plaza Ave Ste 105a
Ponte Vedra, FL 32081-5179
Phone
(904) 819-3233
Fax
(904) 456-0819
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME166913 FL Primary

Addresses

Primary practice location

351 Town Plaza Ave Ste 105a
Ponte Vedra, FL 32081-5179

Mailing address

PO Box 100237
Gainesville, FL 32610-0237
Phone (352) 392-4541

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-5179
Phone (352) 392-4541

Other practice location 2

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 392-4541

Other practice location 3

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729000852 FL Practitioner - Family Practice 3274079090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

351 Town Plaza Ave
Ponte Vedra, FL 32081-5179

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Professional Health Care Services, Inc. Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. Family Medicine Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

351 Town Plaza Ave
Ste 105A
Ponte Vedra, FL 32081
Phone (904) 819-3233

351 Town Plaza Ave
Ste 105
Ponte Vedra, FL 32081
Phone (904) 819-3233

120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200

120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Interoperability endpoints

  • Direct secure messaging: abrooks744648@direct.shands.ufl.edu
  • Direct secure messaging: ashley.brooks@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1366029126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100237",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100237",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 TOWN PLAZA AVE STE 105A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815179",
            "telephone_number": "904-819-3233",
            "fax_number": "904-456-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326105179",
            "country_code": "US",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME166913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.