Corley Brothers, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2924 Issued in TN

Practice address

5073 Main St
Suite 100
Spring Hill, TN 37174-2737

Phone

(615) 302-0885

NPI assigned

Jan 25, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corley.brothers.2@7654.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4

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.

• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Mobile Mammography Clinic/Center
  • Nashville, TN
  • NPI 1881981033
  NPD

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1841657665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD",
            "address_2": "SUITE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-818-9888",
            "fax_number": "615-891-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5073 MAIN ST",
            "address_2": "SUITE 100",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742737",
            "telephone_number": "615-302-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "CORLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020247",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Branam, DPT
• Brandon C. Birdwell D.D.S.
• Austin David Bret
• Raymond Michael Brewer, M.D.
• Karen V Brimeyer, LMFT
• Timothy Benjamin Brown, DDS
• Sara Bruce
• Celeste Bryant, OD
• Mary Ann Bullins, DPT
• Cherell Bullock

• Medical Physician Assistant in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.