Dr Adam Noah Bouldin, APRN is a
Nurse Practitioner - Psychiatric/mental Health physician based in Stockbridge, Georgia. Dr Adam Noah Bouldin is licensed to practice in California (license number G143626) and his current practice location is 75 Kitty Hawk Dr, Stockbridge, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 539-6248.
NPI number for Dr Adam Noah Bouldin is 1518609486 and his current mailing address is 75 Kitty Hawk Dr, Stockbridge, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518609486.
Physician's Profile
| Full Name | Dr Adam Noah Bouldin |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 75 Kitty Hawk Dr, Stockbridge, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518609486
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 05/02/2022
Medical Identifiers
Medical identifiers for Dr Adam Noah Bouldin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518609486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 210847 (Georgia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 210847 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G143626 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adam Noah Bouldin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Adam Noah Bouldin, APRN
75 Kitty Hawk Dr,
Stockbridge, GA 30281-4722
Ph: (404) 539-6248 | Dr Adam Noah Bouldin, APRN
75 Kitty Hawk Dr,
Stockbridge, GA 30281-4722
Ph: (404) 539-6248 |
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