P Praxis·MD
● Active Type 1 · Individual

Diane Boulai, LPN

Licensed Practical Nurse·Newnan, GA· NPI 1437442803 · Enumerated 2011 · 15 years on NPI
Boulai is 1 of 9 licensed practical nurse providers in Newnan and 1 of 1344 in Georgia.
NPI age
15 years
Enumerated 2011-05-18
Primary specialty
Licensed Practical Nurse
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 5% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
55 Jefferson Pkwy # 55b
Newnan, GA 302635813
📞 7706836946fax 7706836949
Mailing address
55 Jefferson Pkwy # 55b
Newnan, GA 302635813
📞 6784773476fax 7706836946

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    GA license #LPN061853 taxonomy 164W00000X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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