Active NPI
Antoine Brooks, D.C.
- Chiropractor
- College Park, GA
National Provider Identifier
1639635501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010168
- Practice address
- 5615 Old National Hwy Ste E
College Park, GA 30349-3817 - Phone
- (404) 565-0414
- NPI assigned
- Feb 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010168 | GA | Primary |
Addresses
Primary practice location
5615 Old National Hwy Ste E
College Park, GA 30349-3817
Mailing address
5615 Old National Hwy Ste E
College Park, GA 30349-3817
Phone (404) 565-0414
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 |
|---|---|---|---|
| CHIR010168 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks and Giles DC, LLC | Chiropractor | Past | Accepting new patients |
| Metro Atlanta Injury and Wellness Ga | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Conyers, GA
- NPI 1104661057
-
- Chiropractor
- College Park, GA
- NPI 1497102354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1639635501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 OLD NATIONAL HWY STE E",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303493817",
"telephone_number": "404-565-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 OLD NATIONAL HWY STE E",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303493817",
"telephone_number": "404-565-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ANTOINE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.