JESSICA BROTH FNP-C
NPI 1245985886
Nurse Practitioner - Family in Atlanta, GA
About Jessica Broth Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA BROTH FNP-C (NPI 1245985886) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN175180) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Broth Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Jessica Broth's NPI number?
The NPI number for Jessica Broth is 1245985886. It was assigned to this individual provider in the NPPES registry on February 12, 2022.
Where is Jessica Broth located?
Jessica Broth practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-8570.
What is Jessica Broth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Broth enrolled in Medicare?
Yes. Jessica Broth is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessica Broth was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Jessica Broth, FNP-C · NPI 1245985886
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 12, 2022.
## Identity
- **NPI:** 1245985886 (Entity type: Individual)
- **Enumerated:** February 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN175180 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1365 CLIFTON RD NE, Atlanta, GA 30322-1013
- **Phone:** (404) 778-8570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 12, 2025
- **Other identifiers:** Medicaid 003269528D (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245985886) · Data from the CMS NPPES public registry.