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MISS ALYSSA BROADWATER PA-C
NPI 1245866276
Physician Assistant - Surgical in Atlanta, GA

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342(404) 778-7200 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Mar 21, 2020 (2 updates tracked since 2020).

About Miss Alyssa Broadwater Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ALYSSA BROADWATER PA-C (NPI 1245866276) is an individual surgical provider in Atlanta, Georgia and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245866276
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS ALYSSA BROADWATERCredential: PA-C
Location Address5665 PEACHTREE DUNWOODY RDAtlanta, GA 30342-1764
Mailing Address731 Paint Horse DrCanton, GA 30115-6817 · (386) 405-8814
Phone(404) 778-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2020
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1245866276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
5665 PEACHTREE DUNWOODY RD, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Alyssa Broadwater Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901220748
PECOS Enrollment IDI20200727000746
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY SCHADE PAAA
Anesthesiologist Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (706) 543-3449
ALLEN YEN MD
Radiology (Radiation Oncology)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (404) 778-1900
PRINCE N MARTIN
Emergency Medicine
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
JONAH SINGER PA-C
Physician Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
STEPHEN COLE TURNER RN
Registered Nurse (Critical Care Medicine)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
JANISE PHILLIPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5665 PEACHTREE DUNWOODY RD
SANDY SPRINGS, GA 30342
Fulton County (678) 843-7109
DEAJAH GREENE FNP
Nurse Practitioner (Family)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7001
BRANDILYNN GROLL LUNSFORD AA-C
Anesthesiologist Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (678) 843-7324

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 Alyssa Broadwater's NPI number?

The NPI number for Alyssa Broadwater is 1245866276. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Alyssa Broadwater located?

Alyssa Broadwater practices at 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342. The listed phone number is (404) 778-7200.

What is Alyssa Broadwater's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alyssa Broadwater enrolled in Medicare?

Yes. Alyssa Broadwater is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alyssa Broadwater affiliated with any hospitals?

According to CMS data, Alyssa Broadwater is affiliated with Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Alyssa Broadwater was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.