P Praxis·MD
● Active Type 1 · Individual

Philip Boadu, NP

Nurse Practitioner·Loganville, GA· NPI 1992314439 · Enumerated 2020 · 5 years on NPI
Boadu is 1 of 47 nurse practitioner providers in Loganville and 1 of 8826 in Georgia.
NPI age
5 years
Enumerated 2020-07-30
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
2
In the 20% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-07Enumerated in NPPES
2020 2026

Where they practice

Practice location
4763 Atlanta Hwy Ste 420
Loganville, GA 300526788
📞 4043956781
Mailing address
452 Springlake Rd
Lawrenceville, GA 300465090
📞 6462267209

Additional practice locations

1 secondary location on file with NPPES.

Location 2
140 Donizetti Pl Apt 18f
Bronx, NY 104752069
📞 6462267209

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP303104 taxonomy 363LF0000X
  • Nurse Practitioner
    Definition to come...
    NY license #F346860-01 taxonomy 363LP2300X
  • Nursing Care
    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
    NY license #651299 taxonomy 251J00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Loganville in the last 180 days. See all →
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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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