P Praxis·MD
● Active Type 1 · Individual

Bonnie Kristine Boles, M.D.

Internal Medicine·Villa Rica, GA· NPI 1538161492 · Enumerated 2005 · 20 years on NPI
Boles is 1 of 1 internal medicine providers in Villa Rica and 1 of 539 in Georgia.
NPI age
20 years
Enumerated 2005-08-11
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active internal medicine providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
60% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
690 Dallas Hwy, Suite 207-A
Villa Rica, GA 301801264
📞 7704563380fax 7704563785
Mailing address
119 Ambulance Drive, Suite 202
Carrollton, GA 301171476
📞 7704563380fax 7704563785

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    GA license #036927 taxonomy 207RP1001X

Identifiers

TypeValueNotes
05 (GA) 000682437H
05 (GA) 000682437F

Practice context

Part of a multi-provider practice. 16 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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