ASHLEY BROUILLETTE MD
NPI 1225457518
Pediatrics - Sports Medicine in Atlanta, GA

Q: What is Ashley Brouillette's NPI number?

The NPI number for Ashley Brouillette is 1225457518. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Ashley Brouillette's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Active since April 15, 2014PECOS Enrolled

5445 MERIDIAN MARK RD STE 250, ATLANTA, GA 30342(404) 255-1933(404) 256-7924 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021, Jul 2, 2018 (3 updates tracked since 2018).

On this page

About Ashley Brouillette Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY BROUILLETTE MD (NPI 1225457518) is an individual sports medicine provider in Atlanta, Georgia, licensed in Georgia (78119) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225457518

Entity TypeIndividualFemale

Primary Taxonomy2080S0010X

Provider Legal NameASHLEY BROUILLETTECredential: MD

Location Address5445 MERIDIAN MARK RD STE 250Atlanta, GA 30342-4767

Mailing Address5445 Meridian Mark Rd Ste 250Atlanta, GA 30342-4767 · (404) 255-1933 · Fax (404) 256-7924

Phone(404) 255-1933

Fax(404) 256-7924

Sole ProprietorNo

Enumeration DateApril 15, 2014

Last NPPES UpdateJune 6, 20223 updates tracked since enumeration

✔ NPI 1225457518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in GA · 78119

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

5445 MERIDIAN MARK RD STE 250, Atlanta, GA 30342

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Brouillette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.