P Praxis·MD
● Active Type 1 · Individual

Douglas A Boudreau, MD

Pediatrics·Hinesville, GA· NPI 1598720617 · Enumerated 2006 · 20 years on NPI
Boudreau is 1 of 11 pediatrics providers in Hinesville and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-04-20
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
303 Fraser Dr
Hinesville, GA 313133712
📞 9128772227fax 9128772332
Mailing address
Po Box 1520
Hinesville, GA 313108520
📞 9123183947fax 9125877018

Specialties

  • Pediatrics Primary
    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...
    GA license #90555 taxonomy 208000000X

Identifiers

TypeValueNotes
01 440546366 UNITED HEALTHCARE
01 PC10371 CIGNA
01 1724934 FIRST HEALTH
05 (MO) 204659403
01 H00943 MERCY
01 (MO) 207515500 MEDICAID
01 411755 HEALTHLINK
01 7609055 AETNA
01 124669 BLUE CROSS BLUE SHIELD
01 (MO) 204659403 MEDICAID

Practice context

Part of a multi-provider practice. 20 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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