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MITCHELL BOLES APRN
NPI 1003470402
Nurse Practitioner - Acute Care in Newnan, GA

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
1665 HIGHWAY 34 E STE 100, NEWNAN, GA 30265(770) 252-7557(770) 252-7513 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2022, May 1, 2019 (2 updates tracked since 2019).

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

NPI1003470402
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMITCHELL BOLESCredential: APRN
Location Address1665 HIGHWAY 34 E STE 100Newnan, GA 30265-2404
Mailing Address1665 Highway 34 E Ste 100Newnan, GA 30265-2404 · (770) 252-7557
Phone(770) 252-7557
Fax(770) 252-7513
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 1, 2019
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1003470402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN233677
1665 HIGHWAY 34 E STE 100, Newnan, GA 30265
Open in Google Maps ↗

Secondary Practice Location 1

Location 1105A Corporate Plaza DrLaGrange, GA 30241-2801 · Phone (678) 800-0099 · Fax (770) 252-7513

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2860826963
PECOS Enrollment IDI20191226000624
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

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, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician 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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMANDA WEATHERS NP
Nurse Practitioner (Family)
1665 HIGHWAY 34 E STE 100
NEWNAN, GA 30265
Coweta County (770) 252-7557
MR. DANIEL HUGHES NP-C
Nurse Practitioner
1665 HIGHWAY 34 E STE 100
NEWNAN, GA 30265
Coweta County (770) 252-7557
RACHEL SMITH USSERY NURSE PRACTITIONER
Nurse Practitioner (Family)
1665 HIGHWAY 34 E STE 100
NEWNAN, GA 30265
Coweta County (770) 252-7557
GEORGIA PAIN AND SPINE CARE, INC
Pain Medicine (Interventional Pain Medicine)
1665 HIGHWAY 34 E STE 100
NEWNAN, GA 30265
Coweta County (770) 252-7557

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.

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.