KAITLYN BROCK CPNP
NPI 1447823232
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since July 20, 2021PECOS Enrolled
1400 TULLIE RD NE FL 1, ATLANTA, GA 30329(404) 785-8787(404) 785-8788 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2022, Jul 20, 2021 (2 updates tracked since 2021).

About Kaitlyn Brock Cpnp NPPES

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

KAITLYN BROCK CPNP (NPI 1447823232) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN258208) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447823232
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAITLYN BROCKCredential: CPNP
Location Address1400 TULLIE RD NE FL 1Atlanta, GA 30329-2309
Mailing Address1400 Tullie Rd Ne Fl 1Atlanta, GA 30329-2309 · (404) 785-8787 · Fax (404) 785-8788
Fax(404) 785-8788
Sole ProprietorNo
Enumeration DateJuly 20, 2021
Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1447823232 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 · RN258208
1400 TULLIE RD NE FL 1, Atlanta, GA 30329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Brock Cpnp 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.

Medicare Billing Reassignment

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

Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group

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 30329 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 18

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

Nurse Practitioner
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Nurse Practitioner (Pediatrics)
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Nurse Practitioner
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Otolaryngology
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Nurse Practitioner
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Otolaryngology (Pediatric Otolaryngology)
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Nurse Practitioner
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329
Otolaryngology (Pediatric Otolaryngology)
1400 TULLIE RD NE FL 1
ATLANTA, GA 30329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Brock's NPI number?

The NPI number for Kaitlyn Brock is 1447823232. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Kaitlyn Brock located?

Kaitlyn Brock practices at 1400 Tullie Rd NE Fl 1, Atlanta, GA 30329. The listed phone number is (404) 785-8787.

What is Kaitlyn Brock's specialty?

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

Is Kaitlyn Brock enrolled in Medicare?

Yes. Kaitlyn Brock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Brock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Brock reassigns Medicare benefits to Emergency Coverage, LLC (Newport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Brock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlyn Brock was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.