Samantha Broadwater, CRNA
NPI 1568032274 · Certified Registered Nurse Anesthetist · Tifton, GA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Broadwater, CRNA is a Certified Registered Nurse Anesthetist provider in Tifton, GA (NPI 1568032274).
Provider details
- NPI number
- 1568032274
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- RN270598 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4090 Old Ga Highway 3Camilla, GA 31730-6341Phone: (229) 319-6291
Registry dates
- Enumerated
- 2021-06-26
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Frequently asked questions
- What is Samantha Broadwater's NPI number?
- Samantha Broadwater's National Provider Identifier (NPI) is 1568032274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Broadwater's specialty?
- Samantha Broadwater is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Broadwater located?
- Samantha Broadwater's practice location on file with NPPES is 901 18th St E, Tifton, GA 31794-3648.
- What is Samantha Broadwater's phone number?
- The practice phone number listed in the NPPES registry for Samantha Broadwater is (229) 382-7120.
- Does Samantha Broadwater accept Medicare?
- Samantha Broadwater is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Broadwater's NPI active?
- Yes — Samantha Broadwater's NPI (1568032274) is active in the NPPES registry as of the last update on 2023-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.