KEISA AYANA BROOKS-BACOTE
NPI 1932235322
Counselor - Professional in Thomson, GA
About Keisa Ayana Brooks-bacote NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEISA AYANA BROOKS-BACOTE (NPI 1932235322) is an individual professional provider in Thomson, Georgia, licensed in Georgia (LPC008161) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keisa Ayana Brooks-bacote is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keisa Brooks-bacote reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 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.
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 Keisa Brooks-bacote's NPI number?
The NPI number for Keisa Brooks-bacote is 1932235322. It was assigned to this individual provider in the NPPES registry on February 27, 2007.
Where is Keisa Brooks-bacote located?
Keisa Brooks-bacote practices at 431 Edgar Cir, Thomson, GA 30824. The listed phone number is (864) 554-1453.
What is Keisa Brooks-bacote's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Keisa Brooks-bacote enrolled in Medicare?
Yes. Keisa Brooks-bacote is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keisa Brooks-bacote's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keisa Brooks-bacote reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Keisa Brooks-bacote'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 Keisa Brooks-bacote was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Keisa Ayana Brooks-Bacote · NPI 1932235322
Professional provider in Thomson, Georgia. Individual provider, active in the CMS NPPES registry since February 27, 2007.
## Identity
- **NPI:** 1932235322 (Entity type: Individual)
- **Enumerated:** February 27, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC008161 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 431 EDGAR CIR, Thomson, GA 30824-1600
- **Phone:** (864) 554-1453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932235322) · Data from the CMS NPPES public registry.