Joy Shantel Broyles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007056 Issued in GA

Practice address

2545 Lawrenceville Hwy
Ste 300
Decatur, GA 30033-3239

Phone

(404) 321-1950

Fax

(404) 633-9838

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
• Emory University Hospital Hospital, Atlanta, GA, CCN 110010

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NSH Cancer Institute Professional Services a LLC

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1215288378
  Medicare reassignment Care Compare group NPD
• NSH Cancer Institute Professional Services a LLC

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1750631792
  NPD
• Northside Hospital, Inc.

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1861416562
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dekalb Medical Center, Inc.

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation
• Emory University

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1588640692
  Care Compare affiliation
• Emory University

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1770560294
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1679877328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 LAWRENCEVILLE HWY",
            "address_2": "STE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333239",
            "telephone_number": "404-321-1950",
            "fax_number": "404-633-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 LAWRENCEVILLE HWY",
            "address_2": "STE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333239",
            "telephone_number": "404-321-1950",
            "fax_number": "404-633-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "JOY",
        "middle_name": "SHANTEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "007056",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Virgil Brown, M.D.
• Melissa Ann Browning, LPC
• Pamela Renee Browning, PT
• Sylvia Lynn Browning, MA, LPC, LMHC
• Marie M Brownlow, RN
• Casey Leigh Brucato
• Lonnette D Bruce
• Linda L Bruck, R.N.
• Elizabeth Mary Bruehl
• Martha Tallman Brumby, MSN,APRN-BC

• Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.