Active NPI
Haley Irene Brooks
- Occupational Therapist
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007650
- Practice address
- 1124 N Park St Ste M
Carrollton, GA 30117-2282 - Phone
- (770) 834-0873
- Fax
- (770) 834-6118
- NPI assigned
- Mar 13, 2020
- Last updated
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | ||
| Occupational Therapist | 225X00000X | OT007650 | GA | Primary |
| Hand Occupational Therapist | 225XH1200X | NU | ||
| Pediatric Occupational Therapist | 225XP0200X | NU |
Addresses
Primary practice location
1124 N Park St Ste M
Carrollton, GA 30117-2282
Mailing address
150 Clinic Ave Ste 101
Carrollton, GA 30117-4402
Other practice location 1
2061 Peachtree Rd NE Ste 500
Atlanta, GA 30309-1446
Phone (404) 355-0069
Other names 1
- Haley Irene Griffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Clinic Ave
Carrollton, GA 30117-4498
Phone (770) 834-0873
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Orthopaedic Clinic PC | Occupational Therapist | Current | Accepting new patients |
| Georgia Hand , Shoulder & Elbow PC | Current | Accepting new patients | |
| West Ga. Nurse Anesthesia, LLC | Past | Accepting new patients |
Locations
2061 Peachtree Rd NE
Ste 500
Atlanta, GA 30309
Phone (404) 352-3522
204 Allen Memorial Dr
Ste 102
Bremen, GA 30110
Phone (727) 755-0679
1124 N Park St
Ste L
Carrollton, GA 30117
1124 N Park St
Ste M
Carrollton, GA 30117
Phone (770) 834-0873
150 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-0873
150 Clinic Ave
Ste 101
Carrollton, GA 30117
Phone (770) 834-0873
705 Dallas Hwy
Ste 301
Villa Rica, GA 30180
Phone (770) 456-0211
Interoperability endpoints
- https://api.platform.athenahealth.com/5080/brand/2/csg/22/fhir/r4
Organizations & group practices 3
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.
-
dba Orthowest
- Rheumatology Physician
- Carrollton, GA
- NPI 1356483747
Occupational Therapist
-
- Orthopaedic Hand Surgery Physician
- Atlanta, GA
- NPI 1669406591
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1275722845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1841826518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CLINIC AVE STE 101",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 N PARK ST STE M",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172282",
"telephone_number": "770-834-0873",
"fax_number": "770-834-6118"
}
],
"practiceLocations": [
{
"address_1": "2061 Peachtree Rd NE Ste 500",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091446",
"country_code": "US",
"telephone_number": "404-355-0069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "HALEY",
"middle_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007650",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "GRIFFIN",
"middle_name": "IRENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.