NPI age
7 years
Enumerated 2019-05-01
● Active
Type 1 · Individual
Mitchell Boles, APRN
Boles is 1 of 16 acute care (nurse practitioner) providers in Newnan and 1 of 985 in Georgia.
Primary specialty
Acute Care (Nurse Practitioner)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-15
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 985 active acute care (nurse practitioner) providers in Georgia.
NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2019 → 2022
2019-05Enumerated in NPPES
2019
2022
Where they practice
Practice location
1665 Highway 34 E Ste 100
Newnan, GA 302652404
Mailing address
1665 Highway 34 E Ste 100
Newnan, GA 302652404
Additional practice locations
1 secondary location on file with NPPES.
Location 2
105a Corporate Plaza Dr
Lagrange, GA 302412801
Specialties
-
Nurse Practitioner PrimaryCMS NPPES uses NUCC taxonomy code 363LA2100X for provider records classified as Acute Care within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
Medicare directory context
Medicare specialties
Nurse Practitioner
Largest Medicare group
137 members
Largest listed enrollment group
Facility affiliations reported by CMS
- City Of Hope Medical Group Of Georgia Llc
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new acute care (nurse practitioner) providers have been added in Newnan in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.