MICHAEL BROCKETT (MD) – Physician Assistant, NPI 1588835573

MICHAEL BROCKETT (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MD. They hold a License No. PA2316 (MA). The NPI Number for MICHAEL BROCKETT (MD) is 1588835573

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BROCKETT (MD)
NPI
1588835573
Phone
(781) 744-8000
Address
631 PROFESSIONAL DR
Enumeration Date
18 March 2008
Last Update Date
25 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783123294
Graduation Year
2006 (20 years ago)
PAC ID
3971753039
Group Practice PAC ID
7012328263
Professional Enrollment ID
I20151023002009
Address ID
GA300467694LA1000XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MICHAEL BROCKETT (MD)

  • 631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 360

    LAWRENCEVILLE, GA 300463367

    Phone: (781) 744-8000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Medtronic, Inc. ($40).

Total Amount

$170

General + Research + Ownership

Payments

8

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151023002009IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3433$0
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012328263View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
N E U R O S U R G E R YGA
Physician AssistantGA
Physician AssistantMA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the standard ID for MICHAEL BROCKETT (MD) in the U.S.?
In the U.S., MICHAEL BROCKETT (MD) is identified by NPI 1588835573.
Is MICHAEL BROCKETT (MD)'s NPI status active today?
Active status means MICHAEL BROCKETT (MD)'s NPI record is not deactivated in the public file.
What does the directory say MICHAEL BROCKETT (MD) does?
Insurance directories may phrase it differently, but here MICHAEL BROCKETT (MD) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MICHAEL BROCKETT (MD) tied to Lawrenceville, Georgia?
If you are local to Lawrenceville, Georgia, MICHAEL BROCKETT (MD) may be relevant to your search.
Why is information missing for MICHAEL BROCKETT (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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