NPIMap

Individual provider Active NPI

Justin Thomas Brooks, PA

  • Surgical Physician Assistant
  • Charlotte, NC
National Provider Identifier
1811207335
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0010-02584 Issued in NC
Practice address
14135 Ballantyne Corporate PL Ste 100
Charlotte, NC 28277-3668
Phone
(704) 831-4300
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 001002584 NC
Surgical Physician Assistant 363AS0400X 0010-02584 NC Primary

Addresses

Primary practice location

14135 Ballantyne Corporate PL Ste 100
Charlotte, NC 28277-3668

Mailing address

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605

Other practice location 1

937 Riverwalk Pkwy Ste 101
Rock Hill, SC 29730-0179
Phone (803) 325-1618

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justin.brookspac.p1@direct.cnsa.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110124000997 NC Practitioner - Physician Assistant 5991984841 Reassigns benefits to 2 organizations
I20190409001975 SC Practitioner - Physician Assistant 5991984841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Neurospine Network LLCGroup PAC ID 1052800588, 121 clinicians
Carolina Neurosurgery and Spine Associates PAGroup PAC ID 7214833375, 104 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

10314 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 831-4100

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605

3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717

851 Heckle Blvd
Rock Hill, SC 29730-2806
Phone (839) 388-0908

937 Riverwalk Pkwy
Rock Hill, SC 29730-0178
Phone (803) 325-1618

937 Riverwalk Pkwy
Suite 101
Rock Hill, SC 29730-0179
Phone (803) 325-1618

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Musc Health Chester Medical Center Hospital, Chester, SC, CCN 420019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3124SCMDGeneral Practice Dentistry
001002584NCMDPhysician Assistant
0010-02584NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health Neurospine Network LLC CurrentSince Oct 1, 2025 Accepting new patients
Carolina Neurosurgery & Spine Associates PA CurrentSince Jan 1, 2014 Accepting new patients
Atrium Health Neurospine Network LLC CurrentSince Oct 1, 2025 Accepting new patients
Carolina Neurosurgery, PA Past Accepting new patients

Locations

225 Baldwin Ave
Charlotte, NC 28204
Phone (704) 376-1605

14135 Ballantyne Corporate Pl
Ste 225
Charlotte, NC 28277
Phone (704) 316-2930

14135 Ballantyne Corporate Pl
Ste 100
Charlotte, NC 28277
Phone (704) 831-4300

110 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 792-2672

10314 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 831-4100

937 Riverwalk Pkwy
Ste 101
Rock Hill, SC 29730
Phone (800) 344-6716

937 Riverwalk Pkwy
Rock Hill, SC 29730
Phone (803) 325-1618

Interoperability endpoints

  • FHIR API: https://epicproxy.et0905.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jbrooks499491@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: justin.brookspac.p1@direct.cnsa.nextgenshare.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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1811207335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BALDWIN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043109",
            "telephone_number": "704-376-1605",
            "fax_number": "704-335-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 BALLANTYNE CORPORATE PL STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773668",
            "telephone_number": "704-831-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "937 Riverwalk Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297300179",
            "country_code": "US",
            "telephone_number": "803-325-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001002584",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-02584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.brookspac.p1@direct.cnsa.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "225 Baldwin Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.