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MISS KELLI NICOLE BROADUS FNP-C
NPI 1306371661
Nurse Practitioner - Family in Augusta, GA

Active since April 25, 2017
1 FREEDOM WAY, AUGUSTA, GA 30904(706) 733-0188 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kelli Nicole Broadus Fnp-c NPPES

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

MISS KELLI NICOLE BROADUS FNP-C (NPI 1306371661) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN216907) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1306371661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KELLI NICOLE BROADUSCredential: FNP-C
Location Address1 FREEDOM WAYAugusta, GA 30904-6258
Mailing Address1330 Royal Oak StGrovetown, GA 30813-3996 · (706) 726-0907
Phone(706) 733-0188
Sole ProprietorNo
Enumeration DateApril 25, 2017
✔ NPI 1306371661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN216907
1 FREEDOM WAY, Augusta, GA 30904
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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.

MRS. JOANN MCNAIR RPH
Pharmacist
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
MS. LISA MIXON JONES R.N.
Registered Nurse
1 FREEDOM WAY, # 31
AUGUSTA, GA 30904
Richmond County (706) 733-0188
MRS. DEBRA SERENDA JONES LMSW
Social Worker
1 FREEDOM WAY, UPTOWN DIVISION/CHARLIE NORWWOOD VA
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. SONYA YVETTE MEDINA PH.D.
Psychologist (Clinical)
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. PANKAJKUMAR NARAYANBHAI THAKKAR M.D.
Physical Medicine & Rehabilitation
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. EDWARD KURT LEAHY
Anesthesiology
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
AMANDA PETRO MSR, OTR/L
Occupational Therapist
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
AMIE ELIZABETH SQUIRES MD
Ophthalmology
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188

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 Kelli Broadus's NPI number?

The NPI number for Kelli Broadus is 1306371661. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Kelli Broadus located?

Kelli Broadus practices at 1 Freedom Way, Augusta, GA 30904. The listed phone number is (706) 733-0188.

What is Kelli Broadus's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Broadus was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.