Individual provider Active NPI

Emily Diane Brooks, FNP-C

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1750809687
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP203310 Issued in GA
Practice address
1620 Prince Ave
Athens, GA 30606-6008
Phone
(706) 549-8114
Fax
(706) 549-7558
NPI assigned
Aug 30, 2017
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN223073 GA
Family Nurse Practitioner 363LF0000X APRN-NP203310 GA Primary

Addresses

Primary practice location

1620 Prince Ave
Athens, GA 30606-6008

Mailing address

PO Box 80883
Athens, GA 30608-0883
Phone (706) 549-8114

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001593 GA Practitioner - Nurse Practitioner 8022382266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP203310GAMDFamily Nurse Practitioner
RN223073GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center CurrentSince Feb 14, 2025 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Feb 14, 2025 Accepting new patients

Locations

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1750809687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80883",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306080883",
            "telephone_number": "706-549-8114",
            "fax_number": "404-751-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066008",
            "telephone_number": "706-549-8114",
            "fax_number": "706-549-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "EMILY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP203310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.