Kendall Mark Broome, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN 135213 Issued in GA

Practice address

2334 Sparta Way Ste 200
Buford, GA 30519-2001

Phone

(678) 997-2151

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mark Broome Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Lanier Anesthesia Associates LLCGroup PAC ID 4082061635, 7 clinicians

GSG Anesthesia LLCGroup PAC ID 5395133276, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• GSG Anesthesia, LLC

  • Anesthesiology Physician
  • Lawrenceville, GA
  • NPI 1184294761

  GA

  Medicare reassignment Care Compare group NPD
• Lake Lanier Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1003443722

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1942563242

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gi Anesthesia of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1326569187

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Oconee River Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Watkinsville, GA
  • NPI 1992325641

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ahp of Central Georgia, PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1972638047

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Georgia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467400481

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ambulatory Anesthesia of North Georgia, LLC

  • Anesthesiology Physician
  • Gainesville, GA
  • NPI 1497870562
  NPD (past)
• Anesthesia Associates of Gainesville, LLC

  • Anesthesiology Physician
  • Gainesville, GA
  • NPI 1457456485
  NPD (past)
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1932157484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DEPT 1041",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 SPARTA WAY STE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305192001",
            "telephone_number": "678-997-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463304",
            "country_code": "US",
            "telephone_number": "770-995-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOME",
        "first_name": "KENDALL",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN 135213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "BROOME",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane Bridges
• Kristy Briggs, OTR
• Brightside Homecare LLC
• Courtney Briscoe
• Andrew Brock, DPT
• Alla V Brown, D.M.D
• Angela D Brown
• Jennifer Brown, MCD-CCC-SLP
• Lisa Leilani Brown, APC
• Miranda Ivey Brown, PHARM.D

• All providers in Buford, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.