NPI age
20 years
Enumerated 2006-04-11
● Active
Type 1 · Individual
Nicholas M Boulis, MD
Boulis is 1 of 94 neurological surgery providers in Atlanta and 1 of 313 in Georgia.
Primary specialty
Neurological Surgery
Plus 1 subspecialty
Licensed in
GA, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 313 active neurological surgery providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 80% — 19% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
1365 Clifton Rd Ne # Clinicb
Atlanta, GA 30322
Mailing address
1365b Clifton Rd Ne Ste B6200
Atlanta, GA 303221013
Additional practice locations
1 secondary location on file with NPPES.
Location 2
9500 Euclid Ave
Cleveland, OH 441950001
Specialties
-
Neurological Surgery PrimaryA neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2258775 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- 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.
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