P Praxis·MD
● Active Type 1 · Individual

Michlene Broadney, MD

Obstetrics & Gynecology·Fayetteville, GA· NPI 1629062153 · Enumerated 2005 · 20 years on NPI
Broadney is 1 of 27 obstetrics & gynecology providers in Fayetteville and 1 of 1893 in Georgia.
NPI age
20 years
Enumerated 2005-09-12
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1893 active obstetrics & gynecology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
1279 Highway 54 W, Suite 220
Fayetteville, GA 302144552
📞 7709912200fax 7709911341
Mailing address
1279 Highway 54 W, Suite 220
Fayetteville, GA 302144552
📞 7709912200fax 7709911341

Specialties

  • Obstetrics & Gynecology Primary
    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...
    GA license #055207 taxonomy 207V00000X

Identifiers

TypeValueNotes
05 (GA) 253338437B
05 (GA) 253338437A

Practice context

Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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