Individual provider Active NPI

Brooks A Whitney, MD

  • Vascular Surgery Physician
  • Atlanta, GA
National Provider Identifier
1821039991
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036903 Issued in GA
Practice address
5671 Peachtree Dunwoody Rd Ste 620
Atlanta, GA 30342-5006
Phone
(678) 369-5454
Fax
(678) 369-5455
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036903 GA Primary

Addresses

Primary practice location

5671 Peachtree Dunwoody Rd Ste 620
Atlanta, GA 30342-5006

Mailing address

Manged Care Department Northside Hospital
1000 Johnson Ferry Rd NE
Atlanta, GA 30342
Phone (404) 300-2476

Other identifiers 12

IdentifierTypeStateIssuer
003118708BMedicaidGA
003118708AMedicaidGA
003118708FMedicaidGA
003118708EMedicaidGA
003118708JMedicaidGA
003118708CMedicaidGA
003118708HMedicaidGA
003118708GMedicaidGA
003118708IMedicaidGA
00543628AMedicaidGA
770000209OtherGARR MCE
003118708DMedicaidGA

Other names 1

  • Brooks Alan Whitney Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brooks.whitney@nvs.eclinicaldirectplus.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000363 GA Practitioner - Vascular Surgery 0446279764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1505 Northside Blvd
Suite 2400
Cumming, GA 30041-7662
Phone (770) 292-9016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.15 of 100Reported as individual
Quality
73.05
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036903GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Oct 1, 2017 Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients
Georgia Vascular Clinic at Saint Joseph'S, LLC Vascular Surgery Past Accepting new patients
St. Joseph'S Hospital Past Accepting new patients

Locations

460 Northside Cherokee Blvd
Ste 100
Canton, GA 30115
Phone (770) 292-3490

1100 Northside Forsyth Dr
Ste 360
Cumming, GA 30041
Phone (678) 341-4812

1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490

5671 Ptree Dunwoody
Sandy Springs, GA 30342
Phone (404) 255-1030

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

980 Johnson Fy Rd NE
Ste 1040
Sandy Springs, GA 30342
Phone (404) 843-2721

5671 Peachtree Dunwoody Rd
Ste 620
Sandy Springs, GA 30342
Phone (404) 843-9958

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHHCAD/Endpoint/FHHCAD
  • Direct secure messaging: brooks.whitney@nvs.eclinicaldirectplus.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 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1821039991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANGED CARE DEPARTMENT NORTHSIDE HOSPITAL",
            "address_2": "1000 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-300-2476",
            "fax_number": "404-250-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD STE 620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425006",
            "telephone_number": "678-369-5454",
            "fax_number": "678-369-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "BROOKS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "036903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00543628A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCE",
            "identifier": "770000209",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118708D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brooks.whitney@nvs.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5671 Peachtree Dunwoody Rd Ste 620",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303425006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKS",
            "last_name": "WHITNEY",
            "middle_name": "ALAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.