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MICHLENE BROADNEY MD
NPI 1629062153
Obstetrics & Gynecology in Fayetteville, GA

Active since September 12, 2005PECOS Enrolled
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214(770) 991-2200(770) 991-1341 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michlene Broadney Md NPPES

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

MICHLENE BROADNEY MD (NPI 1629062153) is an individual obstetrics & gynecology provider in Fayetteville, Georgia, licensed in Georgia (055207) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629062153
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMICHLENE BROADNEYCredential: MD
Location Address1279 HIGHWAY 54 W, SUITE 220Fayetteville, GA 30214-4552
Mailing Address1279 Highway 54 W, Suite 220Fayetteville, GA 30214-4552 · (770) 991-2200 · Fax (770) 991-1341
Phone(770) 991-2200
Fax(770) 991-1341
Sole ProprietorNo
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 22, 2011
✔ NPI 1629062153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 055207
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1279 HIGHWAY 54 W, Fayetteville, GA 30214
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Other Identifiers 4

Medicare UPINI28210GA
Medicaid253338437AGA
Medicare ID-Type Unspecified16BBCRPGA
Medicaid253338437BGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michlene Broadney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%23 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%67 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TANYA DENISE BECKFORD M.D.
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1279 HIGHWAY 54 W, SUITE 210
FAYETTEVILLE, GA 30214
Fayette County (770) 719-1299
MEMORIE MORGAN NICHOLS PA-C
Physician Assistant
1279 HIGHWAY 54 W, SUITE 210
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710
DR. CRYSTAL O SLADE MD
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
DR. BENITA L BONSER MD
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
DR. EDWIN BELLO M.D.
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
DR. WILLIAM DARRELL MARTIN M.D.
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
WOMEN'S COMMUNITY CARE, PC
Obstetrics & Gynecology (Gynecology)
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200

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 Michlene Broadney's NPI number?

The NPI number for Michlene Broadney is 1629062153. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Michlene Broadney located?

Michlene Broadney practices at 1279 Highway 54 W Suite 220, Fayetteville, GA 30214. The listed phone number is (770) 991-2200.

What is Michlene Broadney's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michlene Broadney enrolled in Medicare?

Yes. Michlene Broadney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michlene Broadney was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.