Taylor Jordan Brooks

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT004481 Issued in GA

Practice address

380 Creek PT
Alpharetta, GA 30004-7556

Phone

(470) 813-4771

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1891483772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 FALLS DR APT 1210",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283540",
            "telephone_number": "470-813-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CREEK PT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047556",
            "telephone_number": "470-813-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TAYLOR",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT004481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Christina Brockelman
• Terran Brodie
• Lindsey Bronikowski
• Jonathan Thomas Brooks, PT
• Kendall Douglas Brooks, MD
• William Brooks, D.C.
• Caylin Broome, LCSW
• Amanda Catherine Brown
• Deela Brown, LPC, MA
• Ja'Kara Patricia Ja'Net Brown

• Athletic Trainer in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.