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JENNIFER ALISON BROUSSARD NP
NPI 1255852851
Nurse Practitioner - Family in Reynolds, GA

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
211 GOOSE HOLLOW RD, REYNOLDS, GA 31076(478) 216-1110 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2025, Nov 6, 2017, Jul 5, 2017 (3 updates tracked since 2017).

About Jennifer Alison Broussard Np NPPES

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

JENNIFER ALISON BROUSSARD NP (NPI 1255852851) is an individual family provider in Reynolds, Georgia, licensed in Georgia (RN204586) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255852851
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER ALISON BROUSSARDCredential: NP
Location Address211 GOOSE HOLLOW RDReynolds, GA 31076-3505
Mailing Address211 Goose Hollow RdReynolds, GA 31076-3505 · (478) 216-1110
Phone(478) 216-1110
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1255852851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN204586
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN204586 (GA)
211 GOOSE HOLLOW RD, Reynolds, GA 31076
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Jennifer A Mathis

Secondary Practice Locations 2

Location 15665 New Northside Dr Ste 200Atlanta, GA 30328-4617 · Phone (770) 874-5400
Location 2200 Galleria Pkwy SE Ste 1300Atlanta, GA 30339-5967 · Phone (800) 893-9698

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Company.Insurance ›

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

Jennifer Alison Broussard Np 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 ID4981963527
PECOS Enrollment IDI20180105000850
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
127 services117 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
52 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ALTERNATIVE YOUTH SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
211 GOOSE HOLLOW RD
REYNOLDS, GA 31076
Taylor County (478) 847-2900
GEORGIA RECOVERY CAMPUS,LLC
Substance Abuse Rehabilitation Facility
211 GOOSE HOLLOW RD
REYNOLDS, GA 31076
Taylor County (478) 663-2222
LASPANYA HUNTER
Nurse Practitioner
211 GOOSE HOLLOW RD
REYNOLDS, GA 31076
Taylor County (706) 620-3124

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 Jennifer Broussard's NPI number?

The NPI number for Jennifer Broussard is 1255852851. It was assigned to this individual provider in the NPPES registry on July 5, 2017. The provider is also known as Mrs. Jennifer A Mathis.

Where is Jennifer Broussard located?

Jennifer Broussard practices at 211 Goose Hollow Rd, Reynolds, GA 31076. The listed phone number is (478) 216-1110.

What is Jennifer Broussard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Broussard enrolled in Medicare?

Yes. Jennifer Broussard 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.

What insurance does Jennifer Broussard accept?

Health plans from CareSource and Oscar Insurance Company list Jennifer Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Broussard was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.