MEGAN BROADWATER – Nurse Practitioner, NPI 1407539398

MEGAN BROADWATER is a healthcare provider. based in Fitzgerald, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN283122 (GA). The NPI Number for MEGAN BROADWATER is 1407539398

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN BROADWATER
NPI
1407539398
Phone
(229) 326-9451
Address
422 LOWER REBECCA RD
Enumeration Date
8 August 2023
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292763100
Graduation Year
2023 (3 years ago)
PAC ID
4385098375
Group Practice PAC ID
5991616336
Professional Enrollment ID
I20230925002405
Address ID
GA310153234CO902XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

Provider Addresses for MEGAN BROADWATER

  • 422 LOWER REBECCA RD

    FITZGERALD, GA 317508257

    Phone: (229) 326-9451

    Type: Mailing

  • 902 N 7TH ST

    CORDELE, GA 310153234

    Phone: (229) 276-3100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Axonics, Inc. ($63).

Total Amount

$82

General + Research + Ownership

Payments

3

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230925002405INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 31750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991616336View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
General SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantCO
Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm MEGAN BROADWATER's NPI?
Yes. MEGAN BROADWATER is listed with NPI 1407539398 in the public NPI dataset.
Is MEGAN BROADWATER still practicing?
MEGAN BROADWATER is currently listed as active in the public NPI registry.
What taxonomy line describes MEGAN BROADWATER?
For research purposes, treat MEGAN BROADWATER as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MEGAN BROADWATER on a map?
Expect Fitzgerald, Georgia as a primary anchor for MEGAN BROADWATER unless the record lists multiple sites.
Why does MEGAN BROADWATER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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