Tracy Middlebrooks, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

021986 Issued in GA

Legal business name

TRACY MIDDLEBROOKS, MD

Practice address

2315 Central Ave
Augusta, GA 30904-6272

Phone

(706) 667-0070

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Tracy Middlebrooks, MD

Title

Owner

Phone

(706) 667-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1912241654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046272",
            "telephone_number": "706-667-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046272",
            "telephone_number": "706-667-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY MIDDLEBROOKS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOKS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-667-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "021986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000266725A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Towner
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• Tiffany A Towns
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• Tracey Taylor Carter
• Traditional Nurse Team Tripods
• Karah C Trahan, PA-C
• Denice Traina
• Lauren Trammell
• Dung Anh Tran

• Pediatrics Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.