MRS. BROOKE R STUBBS (P.A.) – Physician Assistant, NPI 1710969209

MRS. BROOKE R STUBBS (P.A.) is a healthcare provider. based in Savannah, Georgia. specializing in Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 004683 (GA). The NPI Number for MRS. BROOKE R STUBBS (P.A.) is 1710969209

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BROOKE R STUBBS (P.A.)
NPI
1710969209
Phone
(912) 527-5300
Address
1326 EISENHOWER DR
Enumeration Date
18 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125275300
Graduation Year
2005 (21 years ago)
PAC ID
2365469772
Group Practice PAC ID
1052607371
Professional Enrollment ID
I20051025000852
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. BROOKE R STUBBS (P.A.)

  • 1326, Eisenhower Drive, Highland Park, Savannah, Chatham County, Georgia, 31406, United States

    BLDG. 2

    SAVANNAH, GA 314063928

    Phone: (912) 527-5300

    Fax: (912) 527-5154

    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 71 Open Payments records for all available years, with a total value of $1,491.

Total Amount is formed as General ($1,491) + Research ($0) + Ownership ($0) = $1,491.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($227).

Total Amount

$1,491

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2005-10-25

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
I20051025000852IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31406)

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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: 1052607371View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyGA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do I look up MRS. BROOKE R STUBBS (P.A.) by NPI?
Use NPI 1710969209 when you need to reference MRS. BROOKE R STUBBS (P.A.) in forms, claims, or directories.
Is MRS. BROOKE R STUBBS (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. BROOKE R STUBBS (P.A.)?
The page reflects Physician Assistant for MRS. BROOKE R STUBBS (P.A.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. BROOKE R STUBBS (P.A.)?
The page summarizes Savannah, Georgia for MRS. BROOKE R STUBBS (P.A.); expand the address list for detail.
Is MRS. BROOKE R STUBBS (P.A.) a real provider?
This page reflects official NPPES data for NPI 1710969209. Always confirm identity and privileges with the practice and licensing boards.

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