Individual provider Active NPI

Tressie Dawn Snipes Brooks, APRN

  • Acute Care Nurse Practitioner
  • Canton, GA
National Provider Identifier
1730457565
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
GAA-NP002394 Issued in GA
Practice address
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone
(770) 224-1000
Fax
(770) 224-2451
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9243329 FL
Acute Care Nurse Practitioner 363LA2100X APRN9243329 FL
Acute Care Nurse Practitioner 363LA2100X RN202650 GA
Acute Care Nurse Practitioner 363LA2100X GAA-NP002394 GA Primary

Addresses

Primary practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Mailing address

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

Other practice location 1

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170
Phone (386) 615-0900

Other practice location 2

3 Pine Cone Dr Ste 106
Palm Coast, FL 32137-8684
Phone (386) 585-4463

Other identifiers 1

IdentifierTypeStateIssuer
108219600MedicaidFL

Other names 1

  • Tressie Dawn Snipes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120109000513 GA Practitioner - Nurse Practitioner 7416123799 Reassigns benefits to 3 organizations
I20201006001252 FL Practitioner - Nurse Practitioner 7416123799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Demand Neurology PAGroup PAC ID 5890180988, 14 clinicians
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

113 S Monroe St
FL 1
Tallahassee, FL 32301-1529
Phone (408) 507-1061

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (313) 887-0960

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP002394GAMDAcute Care Nurse Practitioner
RN202650GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Cardiovascular Professional Services, LLC CurrentSince Jun 29, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Jan 1, 2012 Accepting new patients
On Demand Neurology PA CurrentSince Apr 1, 2025 Accepting new patients
Advanced Sleep and Respiratory Institute, P.a. CurrentSince Sep 1, 2023 Accepting new patients
Advanced Heart Group PL PastSince Sep 1, 2023 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

4721 E Moody Blvd
Ste 104
Bunnell, FL 32110
Phone (386) 586-1229

305 Memorial Medical Pkwy
Ste 501
Daytona Beach, FL 32117
Phone 3866150900209

3 Pine Cone Dr
Ste 106
Palm Coast, FL 32137
Phone (386) 585-4463

4883 Palm Coast Pkwy NW
Unit 5
Palm Coast, FL 32137
Phone (386) 585-4463

113 S Monroe St
Tallahassee, FL 32301
Phone (408) 507-1061

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

335 Madison Ave
Fl 4
New York, NY 10017
Phone (561) 693-2509

Interoperability endpoints

  • Direct secure messaging: tressie.brooks@329996733775876.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1730457565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Memorial Medical Pkwy Ste 501",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175170",
            "country_code": "US",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Pine Cone Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378684",
            "country_code": "US",
            "telephone_number": "386-585-4463",
            "fax_number": "386-585-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TRESSIE",
        "middle_name": "DAWN SNIPES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9243329",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9243329",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN202650",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "GAA-NP002394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108219600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRESSIE",
            "last_name": "SNIPES",
            "middle_name": "DAWN",
            "credential": "RN, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.