KATELYN MICHELLE BROOKER (PA-C) – Physician Assistant, NPI 1306375183
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for KATELYN MICHELLE BROOKER (PA-C)
5353 Reynolds St
Savannah, GA 314056015
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
459 Highway 119 S
Springfield, GA 313293021
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
1000 Medical Center Dr
Hardeeville, SC 299273446
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
25 Hospital Center Blvd
Hilton Head Island, SC 299262738
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
11705 Mercy Blvd
Savannah, GA 314191711
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
1326 Eisenhower Dr Bldg 1
Savannah, GA 314063928
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
4812 Bluffton Parkway
Bluffton, SC 29910
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
4700 Waters Ave
Savannah, GA 314046220
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
101 Saint Josephs Candler Dr Fl 1
Pooler, GA 313229584
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
1203 Gandy Dancer
Richmond Hill, GA 313248895
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
1000 Towne Center Blvd Ste 602
Pooler, GA 313224071
Phone: (912) 344-6615
Fax: (912) 351-0645
Type: Location
613 Towne Park Dr W Ste 303-304
Rincon, GA 313265182
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
4425A Paulsen St Fl 2
Savannah, GA 314053637
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
Savannah Christian Preparatory School, Oak Forest Drive, DeRenne Terrace, Savannah, Chatham County, Georgia, 31404, United States
SAVANNAH, GA 314056736
Phone: (912) 644-5300
Fax: (912) 644-5241
Type: Mailing
4425 PAULSEN ST
SAVANNAH, GA 314053662
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($45).
Total Amount
$121
General + Research + Ownership
Payments
5
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $45 |
| Boston Scientific Corporation | $38 |
| ConvaTec Inc. | $21 |
| Fidia Pharma USA Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170824001151 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA |
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