Tracy A Brooks, LPN – Licensed Vocational Nurse

Key facts

NPI: 1457087413
Entity type: Individual (NPI type 1)
Primary specialty: Licensed Vocational Nurse 164X00000X
License: LPN038645 (GA)
Practice address: 20 Commerce Dr
Blairsville, GA 30512-8913
Phone: (706) 781-6987
Fax: (706) 781-3026
NPI assigned: Aug 1, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Medmark Treatment Centers of Georgia, Inc. Substance Use Disorder Rehabilitation Clinic/Center · Blairsville, GA · NPI 1316186968

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LPN038645	GA	MD	Licensed Vocational Nurse

Practice roles

Organization	Specialty	Status	New patients
Medmark Treatment Centers of Georgia, Inc.		Past since Aug 7, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Licensed Vocational Nurse	164X00000X	LPN038645	GA	Yes

Addresses

Primary practice location

20 Commerce Dr
Blairsville, GA 30512-8913

Mailing address

20 Commerce Dr
Blairsville, GA 30512-8913
Phone (706) 781-6987

Other providers in Blairsville, GA

All providers in Blairsville, GA · Licensed Vocational Nurse in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.