Active NPI
Robert A Brooks, PA
- Physician Assistant
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004802
- Practice address
- 605 N Westover Blvd
Albany, GA 31707-2188 - Phone
- (229) 434-4200
- Fax
- (229) 434-4208
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004802 | GA | Primary |
Addresses
Primary practice location
605 N Westover Blvd
Albany, GA 31707-2188
Mailing address
605 N Westover Blvd
Albany, GA 31707-2188
Phone (229) 434-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453875628A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
425 W 3Rd Ave
Albany, GA 31701-1969
425 W 3Rd Ave
Suite 510
Albany, GA 31701-1959
Phone (229) 312-5133
804 13TH Ave
Albany, GA 31701-1328
Phone (229) 438-5864
808 13TH Ave
Albany, GA 31701-1328
Phone (229) 883-1208
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
- Phoebe Sumter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4802 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Phoebe Dorminy Family Care | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
425 W 3rd Ave
Ste 410
Albany, GA 31701
Phone (229) 312-0707
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
Interoperability endpoints
- robert.brooks@phoebehealth.gadirect.net
- robert.brooks.1@8478.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Surgery Physician
- Albany, GA
- NPI 1023005675
-
- Clinic/Center
- Fitzgerald, GA
- NPI 1992084644
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1790791838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N WESTOVER BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072188",
"telephone_number": "229-434-4200",
"fax_number": "229-434-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 N WESTOVER BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072188",
"telephone_number": "229-434-4200",
"fax_number": "229-434-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453875628A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.