Brooke Pace Brown, PA
Individual provider Active NPI Physician Assistant · Tupelo, MS
NPI 1750114732 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1750114732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 201 W Main St
Tupelo, MS 38804-3917 - Phone
- (888) 731-7611
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Mississippi Medical College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RH Hospitalist Medicine of Och Regional LLC
Practice addresses (Care Compare)
400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106
Hospital & facility affiliations
- North Mississippi Medical Center
- Baptist Memorial Hospital-Oktibbeha County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250219003997 | MS | Practitioner - Physician Assistant | 0749700870 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| RH Emergency Medicine of Jefferson Davis LLC | Past |
Accepting new patients |
Locations
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- brookepace@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
201 W Main St
Tupelo, MS 38804-3917
Mailing address
20096 Little Coontail Rd
Aberdeen, MS 39730-9745
Phone (662) 315-3947
Other providers in Tupelo, MS
- Julie Susanne Brooks
- Kelly Brooks
- Leslie Brooke Brooks
- Rebecca Brooks
- Amanda Leigh Brown
- Cherry Brown
- James Leo Brown
- Jeff T Brown
- Joanne Rolla Brown
- Megan Brown
All providers in Tupelo, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.