HAILEY BROCKMAN FNP
NPI 1770967440
Nurse Practitioner - Family in Augusta, GA
About Hailey Brockman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEY BROCKMAN FNP (NPI 1770967440) is an individual family provider in Augusta, Georgia, licensed in Georgia (207596) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hailey Brockman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hailey Brockman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Hailey Brockman's NPI number?
The NPI number for Hailey Brockman is 1770967440. It was assigned to this individual provider in the NPPES registry on July 13, 2015.
Where is Hailey Brockman located?
Hailey Brockman practices at 1120 15th St Ba - 4236, Augusta, GA 30912. The listed phone number is (706) 627-0767.
What is Hailey Brockman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hailey Brockman enrolled in Medicare?
Yes. Hailey Brockman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hailey Brockman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Brockman reassigns Medicare benefits to Au Medical Associates Inc (Augusta, GA). 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 Hailey Brockman'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 Hailey Brockman was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Hailey Brockman, FNP · NPI 1770967440
Family physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since July 13, 2015.
## Identity
- **NPI:** 1770967440 (Entity type: Individual)
- **Enumerated:** July 13, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 207596 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, BA - 4236, Augusta, GA 30912-0004
- **Phone:** (706) 627-0767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Au Medical Associates Inc (NPI 1841230620, Augusta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1770967440) · Data from the CMS NPPES public registry.