1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Nurse Practitioner
  6. NPI Profile

CATHERINE R BOMAR CPNP
NPI 1093755175
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since June 07, 2006
1100 LAKE HEARN DRIVE, STE 450, ATLANTA, GA 30342(404) 252-7339(404) 257-0337 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Catherine R Bomar Cpnp NPPES

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

CATHERINE R BOMAR CPNP (NPI 1093755175) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (R077495) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093755175
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCATHERINE R BOMARCredential: CPNP
Location Address1100 LAKE HEARN DRIVE, STE 450Atlanta, GA 30342
Mailing Address1100 Lake Hearn Drive, Ste 450Atlanta, GA 30342 · (404) 252-7339 · Fax (404) 257-0337
Phone(404) 252-7339
Fax(404) 257-0337
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 22, 2012
✔ NPI 1093755175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · R077495
1100 LAKE HEARN DRIVE, Atlanta, GA 30342
Open in Google Maps ↗

Other Names 1

Other Name (5)Catherine Renee Bomar

Other Identifiers 1

Medicaid000487099AGA

Other Providers at the Same Location NPPES

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

LISA M WALLER PAC
Physician Assistant (Medical)
1100 LAKE HEARN DRIVE, STE #450
ATLANTA, GA 30342
Fulton County (404) 252-7339

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 Catherine Bomar's NPI number?

The NPI number for Catherine Bomar is 1093755175. It was assigned to this individual provider in the NPPES registry on June 7, 2006. The provider is also known as Catherine Renee Bomar.

Where is Catherine Bomar located?

Catherine Bomar practices at 1100 Lake Hearn Drive Ste 450, Atlanta, GA 30342. The listed phone number is (404) 252-7339.

What is Catherine Bomar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Catherine Bomar was last updated on May 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.