NPI age
19 years
Enumerated 2006-08-24
● Active
Type 1 · Individual
MR. Nicholas Jean Beaulieu, M.D.
Beaulieu is 1 of 19 preferred provider organization providers in Atlanta and 1 of 109 in Georgia.
Primary specialty
Preferred Provider Organization
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 109 active preferred provider organization providers in Georgia.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
920 Ponce De Leon Ave Ne, 920 Ponce De Leon Ave
Atlanta, GA 303064212
Mailing address
920 Ponce De Leon Ave Ne, 920 Ponce De Leon Ave
Atlanta, GA 303064212
Specialties
-
Preferred Provider Organization PrimaryA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00717076E |
Practice context
Part of a multi-provider practice. 4 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.