GENNIFER ALIE BROUGHTON PHD
NPI 1437527538
Psychologist - Clinical in Greenville, SC

Q: What is Gennifer Broughton's NPI number?

The NPI number for Gennifer Broughton is 1437527538. It was assigned to this individual provider in the NPPES registry on September 4, 2015. The provider is also known as Gennifer Amanda Alie.

Q: What is Gennifer Broughton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 04, 2015PECOS Enrolled

725 GROVE RD, GREENVILLE, SC 29605(864) 455-6950 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2025, Nov 25, 2025 (2 updates tracked since 2025).

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About Gennifer Alie Broughton Phd NPPES

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

GENNIFER ALIE BROUGHTON PHD (NPI 1437527538) is an individual clinical provider in Greenville, South Carolina, licensed in South Carolina (1965) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1437527538

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameGENNIFER ALIE BROUGHTONCredential: PHD

Location Address725 GROVE RDGreenville, SC 29605

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-6950

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 4, 2015

Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1437527538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in SC · 1965

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

725 GROVE RD, Greenville, SC 29605

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Other Names 1

Former Name (1)Gennifer Amanda Alie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gennifer Alie Broughton Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476028036

PECOS Enrollment IDI20260410002430

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.

Medicare Billing Reassignment

Medicare enrollment records show Gennifer Broughton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group

Same address

Nurse Practitioner

712 GROVE RD
Greenville, SC 29605

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1053786483 (864) 455-9349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$163.84 typical visit price

range $53.57 – $163.84

Typical copayment $40.96 (range $13.39 – $40.96)

Most-billed visit code 99205

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

DANA LEIGH BRASFIELD

Counselor (Professional)