KATELYN MICHELLE BROOKER


Address: 210 E Derenne Ave, Savannah, GA 31405-6736
Phone: 9126445300

KATELYN MICHELLE BROOKER (NPI# 1306375183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306375183
Entity Type Individual
Full Name KATELYN MICHELLE BROOKER
Credential PA-C
Practice Address 210 E Derenne Ave
Savannah
GA 31405-6736
Practice Telephone 9126445300
Practice Fax Number 9126445241
Mailing Telephone 9126445300
Mailing Fax Number 9126445241
Enumeration Date 2017-06-06
Last Update Date 2017-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 7410 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 210 E DERENNE AVE
City SAVANNAH
State GA
Zip Code 31405-6736

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477554509 John T Hodges Orthopaedic Surgery 210 E Derenne Ave, Savannah, GA 31405-6736 2005-08-10
1639783418 Jennifer Reilly Occupational Therapist 210 E Derenne Ave, Savannah, GA 31405-6736 2020-08-31
1710508494 Stephen Benjamin Brown Physician Assistant 210 E Derenne Ave, Savannah, GA 31405-6736 2020-05-04
1922652791 Kolbe May Seff Physical Therapist 210 E Derenne Ave, Savannah, GA 31405-6736 2019-07-30
1477118586 Matthew Rockwell Roberts Physician Assistant 210 E Derenne Ave, Savannah, GA 31405-6736 2019-05-03
1780164590 Amanda Lariscey Physician Assistant 210 E Derenne Ave, Savannah, GA 31405 2018-08-21
1245725969 Brandon Cliatt Physician Assistant 210 E Derenne Ave, Savannah, GA 31405-6736 2018-06-25
1598282493 Robert M. Cunningham Physician Assistant 210 E Derenne Ave, Savannah, GA 31405-6736 2017-08-23
1720516834 Gina Soule Physician Assistant 210 E Derenne Ave, Savannah, GA 31405-6736 2017-06-02
1164961264 Jonathan Foster Specialist/Technologist, Other 210 E Derenne Ave, Savannah, GA 31405-6736 2017-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053918441 Nicole Marie Tetro Anesthesiology Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 2020-10-08
1154983880 Nickes Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 6020 Halsey St, Savannah, GA 31405 2019-07-02
1215593025 Lee Ann Ryle Nurse Practitioner 5223 Paulsen St., Savannah, GA 31405 2019-05-16
1942765334 Raegan Epps Behavior Technician 613 Stephenson Ave Ste 205, Savannah, GA 31405 2019-02-10
1679050454 Phenomenal Nursing Service Registered Nurse 604 South St., 604 South St, Savannah, GA 31405 2018-07-24
1275029472 Chelsea Amanda Keedy Pharmacist 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 2018-07-11
1265933840 Dwc-p LLC Dentist 5209 Paulsen Street, Savannah, GA 31405 2018-02-28
1386153005 Aaron Shaw Hearing Instrument Specialist 5501 Abercorn St Ste E, Savannah, GA 31405 2017-09-26
1063946028 Elizabeth Bentley Bruhn-danello Dietitian, Registered 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 2017-04-17
1396278230 Theresa Lynn George Health Educator 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 2017-04-07
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306476965 Alyssa Joyce Trenaman Physician Assistant 216 Lyman Hall, Savannah, GA 31410-1045 2020-01-23
1407311012 Kia Elon Burch Physician Assistant 1004 Memorial Ln Ste 200, Savannah, GA 31410-1255 2019-02-07
1316430978 Dawn Obrien Physician Assistant 4717 Hwy 80 E Ste H-1, Savannah, GA 31410-2943 2018-06-08
1265881189 Mallory Williams Physician Assistant 11909 D. Mcauley Drive, Savannah, GA 31419 2016-06-10
1659727634 Andrea L Yates Physician Assistant 10 Country Club Dr, Savannah, GA 31410-3406 2016-05-10
1861878233 Roksana Grozeva Physician Assistant 900 Mohawk St Ste A, Savannah, GA 31419-1772 2015-08-07
1053791434 Robert Earnest Sikes Jr. Physician Assistant 112 Steeplechase Rd, Savannah, GA 31405-1049 2015-06-01
1497160121 Meredith Grace Lenichek Physician Assistant 4717 Us Highway 80 E, Savannah, GA 31410-2943 2014-06-20
1215364120 Zachary K Johannesen Physician Assistant 5353 Reynolds Reynolds Street, Savannah, GA 31405-6015 2013-10-09
1588003651 Brittany R. Tice Physician Assistant 509 Foundation Dr, Savannah, GA 31408-2215 2013-06-21
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Competitor

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City SAVANNAH
Zip Code 31405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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