Jordan Brooks, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

98182 Issued in GA

Practice address

124 Carteret Rd
Brunswick, GA 31525-3028

Phone

(912) 480-0474

Fax

(912) 257-4148

NPI assigned

Apr 16, 2014

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in WI, GA2 enrollments

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 2

Specialty

Dermatology

Education

Tulane University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.brooks@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1710449079
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  dba Atlantic Shore Dermatology, A Forefront Dermatology Practice

  • Dermatology Physician
  • St Simons Island, GA
  • NPI 1154938579
  NPD
• Perimeter Dermatology, PC

  • Specialist
  • Atlanta, GA
  • NPI 1568663334
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1902225030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CARTERET RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315253028",
            "telephone_number": "912-480-0474",
            "fax_number": "912-257-4148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Wellness Way Ste 7120",
            "address_purpose": "LOCATION",
            "city": "St Simons Island",
            "state": "GA",
            "postal_code": "315222286",
            "country_code": "US",
            "telephone_number": "912-634-4966",
            "fax_number": "912-634-6542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315584559",
            "country_code": "US",
            "telephone_number": "912-439-3186",
            "fax_number": "912-634-6542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Lister St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015226",
            "country_code": "US",
            "telephone_number": "912-283-4850",
            "fax_number": "912-283-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301113739",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "98182",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "4301113739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jordan.Brooks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2804 Saint Marys Rd",
            "city": "Saint Marys",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315584559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jordan.Brooks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7000 Wellness Way Ste 7120",
            "city": "St Simons Island",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315222286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jordan.Brooks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "400 Lister St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315015226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jordan.Brooks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "124 Carteret Rd",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315253028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitchell Vernon Brock, M.D.
• Joanna Brogdon
• Stacie Brooker
• Bonnie J Brooks, M.D.
• Jackie Kevin Brooks, M.D.
• Whitney Brooks, FNP-BC
• Chelsea Nicole Brown, APC
• Chrishonda Brown, RN
• Christopher Heath Brown, FNP-C
• Jordan F. Brown, NP

• Dermatology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
• 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.

Verify at the official NPI Registry.