Individual provider Active NPI

Brooke Kaitlin Attaway, FNP-C

  • Family Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1831719608
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP239637 Issued in GA
Practice address
601 Ferncrest Dr Ste 2
Sandersville, GA 31082-1892
Phone
(478) 412-2880
Fax
(478) 412-2881
NPI assigned
Apr 22, 2020
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 RN239637 GA
Family Nurse Practitioner 363LF0000X APRN-NP239637 GA Primary

Addresses

Primary practice location

601 Ferncrest Dr Ste 2
Sandersville, GA 31082-1892

Mailing address

524 Sparta Rd
Sandersville, GA 31082-1376
Phone (478) 412-2880

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
I20230220000251 GA Practitioner - Nurse Practitioner 9638574957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey H Williford LLCGroup PAC ID 5092198580, 7 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Suite E 100 Elm Cottage
Greensboro, GA 30642-5285
Phone (478) 412-2880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as group
Quality
75.65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
APRN-NP239637GAMDFamily Nurse Practitioner
RN239637GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Middle Georgia, LLC CurrentSince May 6, 2023 Accepting new patients
Stacey H Williford LLC Family CurrentSince Jan 1, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Feb 1, 2023 Accepting new patients
Medical Office Force Past Accepting new patients

Locations

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

2400 Bellevue Rd
Ste 26
Dublin, GA 31021
Phone (478) 272-8266

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

524 Sparta Rd
Sandersville, GA 31082
Phone (478) 412-2880

601 Ferncrest Dr
Ste 2
Sandersville, GA 31082
Phone (478) 240-2090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1831719608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821376",
            "telephone_number": "478-412-2880",
            "fax_number": "478-412-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FERNCREST DR STE 2",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821892",
            "telephone_number": "478-412-2880",
            "fax_number": "478-412-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTAWAY",
        "first_name": "BROOKE",
        "middle_name": "KAITLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP239637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.