Individual provider Active NPI

Chad Brooks, MS, PA-C

  • Physician Assistant
  • Robins Afb, GA
National Provider Identifier
1740574516
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10512 Issued in GA
Practice address
550 Allentown Rd BLDG 763
Robins Afb, GA 31098-2252
Phone
(478) 327-0365
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10512 GA Primary
Physician Assistant 363A00000X 2005 MN

Addresses

Primary practice location

550 Allentown Rd BLDG 763
Robins Afb, GA 31098-2252

Mailing address

550 Allentown Rd BLDG 763
Robins Afb, GA 31098-2252
Phone (478) 327-0361

Other practice location 1

655 7th St
Robins AFB, GA 31098-2227
Phone (478) 327-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, GA2 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
I20131216001797 MN Practitioner - Physician Assistant 6002094687 Reassigns benefits to 1 organization
I20240729003013 GA Practitioner - Physician Assistant 6002094687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Small Holdings PAGroup PAC ID 4981133238, 4 clinicians
Avamed Health Care LLCGroup PAC ID 9032566138, 4 clinicians

Practice addresses (Care Compare)

161 19TH St S
Suite 106
Sartell, MN 56377-2555
Phone (320) 558-3396

205 Tom Hill Sr Blvd
Suite B
Macon, GA 31210-1932
Phone (404) 488-9384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2005MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Small Holdings PA CurrentSince Mar 20, 2026 Accepting new patients
Arvhamed Primary Care LLC PastSince Apr 27, 2025 Accepting new patients

Locations

161 19th St S
Ste 106
Sartell, MN 56377
Phone (320) 252-3376

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1740574516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ALLENTOWN RD BLDG 763",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982252",
            "telephone_number": "478-327-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ALLENTOWN RD BLDG 763",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982252",
            "telephone_number": "478-327-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHAD",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10512",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "2005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins Afb, GA

Sources for this page

Verify at the official NPI Registry.