MS. CAMILLE TISHA BROCKETT NP
NPI 1902079957
Nurse Practitioner - Acute Care in Atlanta, GA

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
EMORY UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT, 1364 CLIFFTON ROAD, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2022, Dec 9, 2022 (2 updates tracked since 2022).

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

NPI1902079957
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. CAMILLE TISHA BROCKETTCredential: NP
Location AddressEMORY UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT, 1364 CLIFFTON ROADAtlanta, GA 30322-1006
Mailing Address2224 Austin Lake Dr SeSmyrna, GA 30082-3380
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 10, 2008
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1902079957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN184254NP
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN184254 (GA)
EMORY UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT, Atlanta, GA 30322

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID143390674
PECOS Enrollment IDI20080610000226
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.

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.

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.

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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

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.

What insurance does Camille Brockett accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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.