P Praxis·MD
● Active Type 1 · Individual

MISS Sherill Alethia Broderick, NP

Nurse Practitioner·Loganville, GA· NPI 1699526723 · Enumerated 2024 · 2 years on NPI
Broderick is 1 of 25 nurse practitioner providers in Loganville and 1 of 1622 in Georgia.
NPI age
2 years
Enumerated 2024-03-28
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 2 yr below median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

Practice location
3650 Lilly Brook Dr
Loganville, GA 300523391
📞 2015800480
Mailing address
3650 Lilly Brook Dr
Loganville, GA 300523391
📞 2018988574

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #2023190695 taxonomy 363LP0808X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Loganville in the last 180 days. See all →
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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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