NPI age
19 years
Enumerated 2006-10-12
● Active
Type 1 · Individual
MRS. Rae Michelle Broadnax, NP
Broadnax is 1 of 8 nurse practitioner providers in Fort Moore and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 115 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.