Individual provider Active NPI

Brooke Hanaway Lewis, MD

  • Pediatric Cardiology Physician
  • Canton, GA
National Provider Identifier
1669421434
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
055951 Issued in GA
Practice address
134 Riverstone Ter Ste 202
Canton, GA 30114-1705
Phone
(770) 213-8942
Fax
(770) 213-4158
NPI assigned
May 9, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 055951 GA Primary

Addresses

Primary practice location

134 Riverstone Ter Ste 202
Canton, GA 30114-1705

Mailing address

2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5521
Phone (404) 256-2593

Other identifiers 1

IdentifierTypeStateIssuer
780942438AMedicaidGA

Other names 1

  • Brooke A. Hanaway Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibley@choa.gadirect.com Health Information Exchange (HIE) Children's Healthcare of Atlanta

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000263 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7416991179 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Regional Medical Center Pro Fee Billing, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: blewis9371@choa.gadirect.net
  • Direct secure messaging: brooke.lewis@westgahealth.gadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1669421434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415521",
            "telephone_number": "404-256-2593",
            "fax_number": "770-488-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 RIVERSTONE TER STE 202",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141705",
            "telephone_number": "770-213-8942",
            "fax_number": "770-213-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BROOKE",
        "middle_name": "HANAWAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "055951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780942438A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "134 Riverstone Ter Ste 202",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301141705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "HANAWAY",
            "middle_name": "A.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.