Individual provider · Type 1 NPI

Brooke Lewis, NP

Pediatric Nurse Practitioner · Carrollton, GA

NPI number 1386497592 Active

Practice location

706 Dixie St Ste 200
Carrollton, GA 30117-3889

Fax (770) 812-5910

Mailing address

104 Kingsbrooke Dr
Palmetto, GA 30268-8535

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN-NP297733 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386497592

Brooke Lewis, NP's National Provider Identifier is 1386497592, issued on Apr 8, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Carrollton, GA. The record was last updated on Nov 19, 2025.