Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Alyssa Broadwater, PA-C

Individual provider Surgical Physician Assistant · NPI 1245866276

Miss. Alyssa Broadwater, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2019, 7 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Phone: (404) 778-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1245866276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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