P Praxis·MD
● Active Type 1 · Individual

MRS. Sandra Bernette Broomfield, NURSE PRACTITIONER

Nurse Practitioner·MacOn, GA· NPI 1760948434 · Enumerated 2019 · 7 years on NPI
Broomfield is 1 of 24 nurse practitioner providers in MacOn and 1 of 806 in Georgia.
NPI age
7 years
Enumerated 2019-02-18
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
7 years
↓ 4 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
575 1st St
MacOn, GA 312012825
📞 4787427566fax 4787432804
Mailing address
575 1st St
MacOn, GA 312012825
📞 4787427566fax 4787432804

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN159851 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 19 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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