MS. CAMILLE TISHA BROCKETT NP
NPI 1902079957
Nurse Practitioner - Acute Care in Atlanta, GA
About Ms. Camille Tisha Brockett Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CAMILLE TISHA BROCKETT NP (NPI 1902079957) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN184254NP) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Camille Tisha Brockett Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Camille Brockett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 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 30322 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.
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 Camille Brockett's NPI number?
The NPI number for Camille Brockett is 1902079957. It was assigned to this individual provider in the NPPES registry on April 10, 2008.
Where is Camille Brockett located?
Camille Brockett practices at Emory University Hospital Emergency Department 1364 Cliffton Road, Atlanta, GA 30322. The listed phone number is (404) 712-2000.
What is Camille Brockett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Camille Brockett enrolled in Medicare?
Yes. Camille Brockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Camille Brockett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Brockett reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Grady Memorial Hospital Corporation (Atlanta, GA). Each 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 Camille Brockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Camille Brockett accept?
Health plans from Oscar Health list Camille Brockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Camille Brockett was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Camille Tisha Brockett, NP · NPI 1902079957
Acute Care physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1902079957 (Entity type: Individual)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN184254NP (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** EMORY UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT, 1364 CLIFFTON ROAD, Atlanta, GA 30322-1006
- **Phone:** (404) 712-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902079957) · Data from the CMS NPPES public registry.