Kathy Brock

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN112045 Issued in GA

Practice address

60 Health Way
Jasper, GA 30143-1912

Phone

(706) 253-2821

NPI assigned

Feb 24, 2026

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Cherokee County Health Department

  • Public Health or Welfare Agency
  • Canton, GA
  • NPI 1659345718
  NPD (past)
• Pickens County Department of Public Health

  dba Pickens County Health Department

  • Public Health or Welfare Agency
  • Jasper, GA
  • NPI 1780658757
  NPD (past)

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1982558276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MISTY VALLEY DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HEALTH WAY",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431912",
            "telephone_number": "706-253-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Univeter Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301158261",
            "country_code": "US",
            "telephone_number": "770-345-7371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN112045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BR Medical
• David Timothy Brannan, D.C.
• Breakthrough Counseling Center, LLC
• Brenda G Fritz DMD PC
• Robert Briley
• Lisa K Broussard, LCSW008306
• Chelsea Brown
• Lois E Bryant, NURSE PRACTIONER
• Richard Fuller Buhl, D.D.S.
• Burnt Mountain Center Inc

• Registered Nurse in Jasper, GA
• Providers in Jasper, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.