Individual provider Active NPI

Rhonda Brooks, RNC, WHNP

  • Women's Health Nurse Practitioner
  • Thomaston, GA
National Provider Identifier
1508904517
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R050475 Issued in GA
Practice address
214 Cherokee Rd
Thomaston, GA 30286-3402
Phone
(706) 647-9627
Fax
(706) 647-9651
NPI assigned
Feb 2, 2007
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R050475 GA Primary

Addresses

Primary practice location

214 Cherokee Rd
Thomaston, GA 30286-3402

Mailing address

108 Bradley Dr
Thomaston, GA 30286-2251
Phone (706) 647-9627

Other identifiers 1

IdentifierTypeStateIssuer
00740209AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20090319000318 GA Practitioner - Nurse Practitioner 2668539628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson Womens Services LLCGroup PAC ID 3072679307, 6 clinicians

Practice addresses (Care Compare)

612 W Gordon St
Suite E
Thomaston, GA 30286-3416
Phone (706) 648-3368

91 W Main St
Butler, GA 31006-5157
Phone (478) 862-5726

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R050475GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upson County Hospital Inc Current Accepting new patients
Upson Womens Services LLC CurrentSince Oct 1, 2008 Accepting new patients
Upson Family Physicians, LC Past Accepting new patients

Locations

214 Cherokee Rd
Thomaston, GA 30286
Phone (706) 647-9627

Interoperability endpoints

  • Direct secure messaging: rhonda.brooks@urmc.gadirect.net

Organizations & group practices 3

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1508904517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BRADLEY DR",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862251",
            "telephone_number": "706-647-9627",
            "fax_number": "706-647-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHEROKEE RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863402",
            "telephone_number": "706-647-9627",
            "fax_number": "706-647-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RHONDA",
        "name_prefix": "Mrs.",
        "credential": "RNC, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "R050475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00740209A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.