BOULWARE P.A. INC
NPI 1073266292
Clinic/Center - Primary Care in Madison, GA

Active since January 28, 2022
216 N MAIN ST, MADISON, GA 30650(706) 343-4100 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boulware P.a. Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULWARE P.A. INC (NPI 1073266292) is a healthcare organization registered as a primary care in Madison, Georgia and active in the NPI registry since January 2022. The organization lists Ronald Glen Boulware, Physician, as its authorized official.

NPPES Registry Identity

NPI1073266292
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOULWARE P.A. INC
Location Address216 N MAIN STMadison, GA 30650-1313
Mailing AddressPo Box 788Madison, GA 30650-0788
Organization SubpartNo
Authorized OfficialRonald Glen BoulwarePhysician · (813) 546-0468
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
NPI 1073266292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
216 N MAIN ST, Madison, GA 30650

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
216 N MAIN ST
MADISON, GA 30650

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 Boulware P.A. Inc's NPI number?

The NPI number for Boulware P.A. Inc is 1073266292. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Boulware P.A. Inc located?

Boulware P.A. Inc is located at 216 N Main St, Madison, GA 30650. The listed phone number is (706) 343-4100.

What is Boulware P.A. Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Boulware P.A. Inc was last updated on January 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.