BROOKE LEWIS NP
NPI 1386497592
Nurse Practitioner - Pediatrics in Carrollton, GA

Q: What is Brooke Lewis's NPI number?

The NPI number for Brooke Lewis is 1386497592. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Brooke Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Lewis was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2024PECOS Enrolled

706 DIXIE ST STE 200, CARROLLTON, GA 30117(770) 812-8825(770) 812-5910 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2025, Apr 8, 2024 (2 updates tracked since 2024).

On this page

About Brooke Lewis Np NPPES

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

BROOKE LEWIS NP (NPI 1386497592) is an individual pediatrics provider in Carrollton, Georgia, licensed in Georgia (APRN-NP297733) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386497592

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBROOKE LEWISCredential: NP

Location Address706 DIXIE ST STE 200Carrollton, GA 30117-3889

Mailing Address104 Kingsbrooke DrPalmetto, GA 30268-8535

Phone(770) 812-8825

Fax(770) 812-5910

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateApril 8, 2024

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1386497592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · APRN-NP297733

706 DIXIE ST STE 200, Carrollton, GA 30117

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Lewis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507350220

PECOS Enrollment IDI20251210002813

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.

Medicare Billing Reassignment

Medicare enrollment records show Brooke Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanner Medical Group Inc

1.4 mi

Cardiovascular Disease

100 GREENWAY BLVD FL 2
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
232 clinicians in this Medicare group

NPI 1396979787 (770) 838-8710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEGHAN LOVE MD

Obstetrics & Gynecology