Individual provider Active NPI

Tavaris Brooks Sr., DNP

  • Family Nurse Practitioner
  • Milton, FL
National Provider Identifier
1609359868
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9399373 Issued in FL
Practice address
5992 Berryhill Rd
Milton, FL 32570-1013
Phone
(850) 981-7738
Fax
(850) 981-3885
NPI assigned
Sep 12, 2018
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN9399373 FL
Family Nurse Practitioner 363LF0000X APRN9399373 FL Primary

Addresses

Primary practice location

5992 Berryhill Rd
Milton, FL 32570-1013

Mailing address

8116 Stream Ridge Rd
Pensacola, FL 32526-7868
Phone (850) 525-9684

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108001758 FL Practitioner - Nurse Practitioner 5496091720 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9399373FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Florida, LLC Acute Care CurrentSince Aug 1, 2020 Accepting new patients
Santa Rosa Hma Physician Management, LLC CurrentSince Jan 1, 2023 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Aug 1, 2022 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Aug 1, 2022 Accepting new patients
Hni Medical Services of Florida, LLC CurrentSince Aug 1, 2020 Accepting new patients
Floridian Hospitalist Services, LLC Current Accepting new patients
Floridian Hospitalist Services, LLC CurrentSince Aug 5, 2022 Accepting new patients
Santa Rosa Hma Physician Management LLC PastSince Jul 4, 2021 Accepting new patients
Accredited Cardiovascular and Arrhythmia LLC PastSince Sep 5, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

5992 Berryhill Rd
Ste 302
Milton, FL 32570
Phone (850) 416-4620

4225 Woodbine Rd
Ste A
Pace, FL 32571
Phone (850) 626-2020

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

5595 Woodbine Rd
Pace, FL 32571
Phone (850) 981-7746

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: tarvaris.brooks.1@4692.direct.athenahealth.com
  • Direct secure messaging: tavaris.brookssr@hca5.eclinicaldirectplus.com

Organizations & group practices 10

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1609359868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 STREAM RIDGE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325267868",
            "telephone_number": "850-525-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-981-7738",
            "fax_number": "850-981-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TAVARIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9399373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9399373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.