Active NPI
Mary Ngoc Nhu Brooks, PA-C
- Physician Assistant
- Sevierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1934
- Practice address
- 641 Middle Creek Rd
Sevierville, TN 37862-5014 - Phone
- (865) 428-0583
- Fax
- (865) 428-1625
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1934 | TN | Primary |
Addresses
Primary practice location
641 Middle Creek Rd
Sevierville, TN 37862-5014
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627
1275 Dick Lonas Rd
Knoxville, TN 37909-1326
201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627
641 Middle Creek Rd
Sevierville, TN 37862-5014
Phone (865) 428-0583
675 Middle Creek Rd
Sevierville, TN 37862-5014
Phone (865) 584-4747
Hospital & facility affiliations
- Leconte Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1934 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
641 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 428-0583
Interoperability endpoints
- mary.brooks.1@20785.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Internal Medicine Physician
- Maryville, TN
- NPI 1174694764
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
-
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1699064980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD",
"address_2": "SUITE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092604",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625014",
"telephone_number": "865-428-0583",
"fax_number": "865-428-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MARY",
"middle_name": "NGOC NHU",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.