P Praxis·MD
● Active Type 1 · Individual

DR. William Todd Boleman, MD

Allergy & Immunology·Villa Rica, GA· NPI 1558320119 · Enumerated 2006 · 20 years on NPI
Boleman is 1 of 4 allergy & immunology providers in Villa Rica and 1 of 151 in Georgia.
NPI age
20 years
Enumerated 2006-03-22
Primary specialty
Allergy & Immunology
Plus 2 subspecialties
Licensed in
GA, PA
2 states
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 151 active allergy & immunology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
690 Dallas Hwy, Suite 101
Villa Rica, GA 301801264
📞 7704590620fax 7704567604
Mailing address
690 Dallas Hwy, Suite 101
Villa Rica, GA 301801264
📞 7704590620fax 7704567604

Specialties

  • Allergy & Immunology Primary
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    GA license #068372PA license #MD-050257-L taxonomy 207K00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    PA license #MD-050257-L taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) PENDING
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

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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