Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164698486 Individual Practitioner Male Practitioner

S Broom

General Practice • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

S Broom is a registered healthcare professional specializing in General Practice in Atlanta, GA. Practice services are available at 80 JESSE HILL JR DR SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 Jesse Hill Jr Dr Se

Atlanta, GA 303033031

Telephone 4046161000
Associated Practice Facility / Clinic
🏢 John C. Crawford, Ii Facility NPI 1366409609

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
46 Specialists

Practicing in Atlanta, GA (369 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 045730

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Shannon Ike , MD

Internal Medicine - Cardiovascular Disease

NPI 1003155151

Doctor of Medicine (M.D.)

Kayla Hugine

Nurse Practitioner - Acute Care

NPI 1003682360
Selena Kim , CAA

Anesthesiologist Assistant

NPI 1013562883
Julio Lopez-Tenorio

Student in an Organized Health Care Education/Training Program

NPI 1013600543
NPI 1013724251

Bachelor of Science in Nursing, Registered Nurse

Salmaan Kamal

Internal Medicine

NPI 1023505534

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2013

Registered at 80 JESSE HILL JR DR SE, ATLANTA, GA 303033031 (Tel: 4046161000)

📍
Updated Business Mailing Address February 05, 2013

Registered at 80 JESSE HILL JR DR SE, ATLANTA, GA 303033031

👤
Provider Name / Credentials Updated February 05, 2013

Recorded as S BROOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2013

General Practice (License #045730 in GA)

🟢
Initial NPI Registration & Enumeration May 06, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164698486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2008
Last Update: February 05, 2013
Sole Proprietor: No

Mailing Address

80 Jesse Hill Jr Dr Se

Atlanta, GA 303033031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.