Active NPI
Katya Monet Brickman, MSN, CNM
- Advanced Practice Midwife
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN256354
- Practice address
- 503 S 8TH St
Griffin, GA 30224-4211 - Phone
- (770) 227-5505
- NPI assigned
- Aug 13, 2012
- Last updated
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0205348 | CO | |
| Advanced Practice Midwife | 367A00000X | RN256354 | GA | Primary |
Addresses
Primary practice location
503 S 8TH St
Griffin, GA 30224-4211
Mailing address
503 S 8TH St
Griffin, GA 30224-4211
Other practice location 1
1675 Garden Of The Gods Rd
Colorado Springs, CO 80907-9444
Phone (719) 578-3242
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Emory University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721
619 S 8TH St
Griffin, GA 30224-4260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0205348 | CO | MD | Registered Nurse |
| RN256354 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Griffin OBGYN Clinic PA | Single Specialty | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Single Specialty | Current | Accepting new patients |
Locations
503 S 8th St
Griffin, GA 30224
Phone (770) 227-5505
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
403 W Main St
Thomaston, GA 30286
Phone (706) 646-2888
Interoperability endpoints
- https://api.platform.athenahealth.com/13935/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
Single Specialty
-
- Obstetrics & Gynecology Physician
- Griffin, GA
- NPI 1558415919
Single Specialty
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1770830408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244211",
"telephone_number": "770-227-5505"
}
],
"practiceLocations": [
{
"address_1": "1675 Garden Of The Gods Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809079444",
"country_code": "US",
"telephone_number": "719-578-3242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRICKMAN",
"first_name": "KATYA",
"middle_name": "MONET",
"name_prefix": "Mrs.",
"credential": "MSN, CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0205348",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN256354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.