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NPI · 1104948405 · NPPES-sourced

Ms. Sally Brooks PA-C

ActiveMedical Physician Assistant
NPI Number
1104948405
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(678) 442-3317
License GA · 003149
Last Updated
Enumerated
Primary practice addressGA · 30054
1000 Medical Center BlvdLawerenceville, GA 30054
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About this NPIWhat this record shows.

NPI 1104948405 is registered to Ms. Sally Brooks PA-C, a Medical Physician Assistant practising at 1000 Medical Center Blvd in Lawerenceville, Georgia. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ms. Sally Brooks PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ms. Sally Brooks PA-C accepts. To confirm in-network status with your specific health plan, contact Ms. Sally Brooks PA-C directly at (678) 442-3317.

Frequently asked

Yes. NPI 1104948405 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (678) 442-3317.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ms. Sally Brooks PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
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