Samuel Broffitt (NPI# 1790882595, PAC ID# 6204025984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790882595 |
| PAC ID by PECOS | 6204025984 |
| Professional Enrollment ID | I20110111000751 |
| Full Name | Samuel Broffitt |
| Address |
1995 Hwy 51 S Covington TN 38019-3635 |
| Phone Number | 9014764526 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| Address | Phone | Organization |
|---|---|---|
| 1995 Hwy 51 S, Covington, TN 38019-3635 | 9014764526 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1995 HWY 51 S |
| City | COVINGTON |
| State | TN |
| Zip | 38019-3635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Andi M Anderson | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Miriam Wozny | Family Medicine | Emergency Coverage Corp | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Jason B Spencer | Internal Medicine | Emergency Coverage Corp | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Karen L Martin | Nurse Practitioner | James W Martin Md LLC | 1995 Hwy 51 S, Suite 101, Covington, TN 38019-3654 |
| Jeremiah Tyson | Internal Medicine | Emergency Coverage Corp | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| James H Witham | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Jeffrey R Obanner | Family Medicine | Emergency Coverage Corp | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| John Janovich | Orthopedic Surgery | 1995 Hwy 51 S, Suite 102, Covington, TN 38019-3654 | |
| Tony Bullon | Family Medicine | Emergency Coverage Corp | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasma Graham Robertson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| John Larkin | Internal Medicine | 1995 Hwy 51 S 208, Covington, TN 38019 | |
| Jennifer Mitchell Miller | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tammy B Billings | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Kristen Anderson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Madison Wallace | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Sheketa Lane | Physician Assistant | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Deondra Edwards | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tanya R Bartholomew | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Morgan C Smith | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Find all physicians in zip 38019 | |||
| City | COVINGTON |
| Zip Code | 38019 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COVINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel Broffitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.