Individual provider Active NPI

Amanda Brooks, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1902443039
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN235531 Issued in GA
Practice address
330 Hospital Dr Ste 304
Macon, GA 31217-8046
Phone
(478) 742-1010
Fax
(478) 742-9666
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN235531 GA Primary

Addresses

Primary practice location

330 Hospital Dr Ste 304
Macon, GA 31217-8046

Mailing address

330 Hospital Dr Ste 304
Macon, GA 31217-8046
Phone (478) 742-1010

Other practice location 1

1760 Bass Rd Ste B
Macon, GA 31210-1061
Phone (478) 742-1010

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
I20200220002704 GA Practitioner - Nurse Practitioner 0143657783 Reassigns benefits to 4 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
Beverly B. Sanders, M.D., L.L.C.Group PAC ID 7214165547, 2 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1760 Bass Rd
200B
Macon, GA 31210-1061

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration Group CurrentSince Jun 1, 2021 Accepting new patients
Beverly B. Sanders, M.D., L.L.C. CurrentSince Dec 1, 2022 Accepting new patients
Rossana Y Carter, MD, LLC CurrentSince Dec 1, 2022 Accepting new patients
Kala K. Cunard, M.D., L.L.C. CurrentSince Dec 1, 2022 Accepting new patients

Locations

1760 Bass Rd
Ste 200B
Macon, GA 31210
Phone (478) 309-1294

330 Hospital Dr
Ste 304
Macon, GA 31217
Phone (478) 742-1010

104 Whiting Way
Ste 210220
Warner Robins, GA 31088
Phone (478) 333-1346

Interoperability endpoints

  • Direct secure messaging: amanda.brooks@bbsm.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1902443039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR STE 304",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178046",
            "telephone_number": "478-742-1010",
            "fax_number": "866-493-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR STE 304",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178046",
            "telephone_number": "478-742-1010",
            "fax_number": "478-742-9666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Bass Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312101061",
            "country_code": "US",
            "telephone_number": "478-742-1010",
            "fax_number": "866-493-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.