Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Broderick, PA-C

Individual provider Physician Assistant · NPI 1700365103

Jessica Broderick, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2018, 8 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 White St SW
Atlanta, GA 30310-2634
Phone: (404) 616-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1418 Scott Blvd, Decatur, GA 30030-1424 — (404) 446-1340

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8887 (GA)

Record details

NPI number1700365103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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