MITCHELL BOLES APRN
NPI 1003470402
Nurse Practitioner - Acute Care in Newnan, GA
About Mitchell Boles Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL BOLES APRN (NPI 1003470402) is an individual acute care provider in Newnan, Georgia, licensed in Georgia (RN233677) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and maintains a secondary practice location in Lagrange.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mitchell Boles Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mitchell Boles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 448 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 89 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeastern Regional Medical Center, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWNAN, GA 30265
NEWNAN, GA 30265
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mitchell Boles's NPI number?
The NPI number for Mitchell Boles is 1003470402. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Mitchell Boles located?
Mitchell Boles practices at 1665 Highway 34 E Ste 100, Newnan, GA 30265. The listed phone number is (770) 252-7557.
What is Mitchell Boles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mitchell Boles enrolled in Medicare?
Yes. Mitchell Boles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mitchell Boles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Boles reassigns Medicare benefits to 3 organizations: City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and Sound Physicians Intensivists Of Georgia PC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Boles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitchell Boles accept?
Health plans from Oscar Health list Mitchell Boles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mitchell Boles affiliated with any hospitals?
According to CMS data, Mitchell Boles is affiliated with Southeastern Regional Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Mitchell Boles was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mitchell Boles, APRN · NPI 1003470402
Acute Care physician in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1003470402 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN233677 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1665 HIGHWAY 34 E STE 100, Newnan, GA 30265-2404
- **Phone:** (770) 252-7557 · **Fax:** (770) 252-7513
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): City Of Hope Medical Group Of Georgia LLC (NPI 1447520333, Newnan, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); Sound Physicians Intensivists Of Georgia PC (NPI 1376159590, Macon, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003470402) · Data from the CMS NPPES public registry.