DR. JEFFERY LEROY BOUADOU M.D.
NPI 1114218633
Hospitalist in Dalton, GA

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
1200 MEMORIAL DR, DALTON, GA 30720(706) 217-2207 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, Mar 17, 2018, Oct 25, 2017 (3 updates tracked since 2017).

About Dr. Jeffery Leroy Bouadou M.d. NPPES

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

DR. JEFFERY LEROY BOUADOU M.D. (NPI 1114218633) is an individual hospitalist provider in Dalton, Georgia, licensed in Georgia (071932) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winder, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1114218633
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JEFFERY LEROY BOUADOUCredential: M.D.
Location Address1200 MEMORIAL DRDalton, GA 30720-2529
Mailing Address316 N Broad StWinder, GA 30680-2150 · (770) 867-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 2, 2011
Last NPPES UpdateJanuary 7, 20223 updates tracked since enumeration
NPI 1114218633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 071932
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 071932 (GA)
1200 MEMORIAL DR, Dalton, GA 30720

Secondary Practice Location 1

Location 1316 N Broad StWinder, GA 30680-2150 · Phone (770) 867-3400

Accepted Insurance

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

Dr. Jeffery Leroy Bouadou M.d. 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 ID2961628052
PECOS Enrollment IDI20140725001468
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 20

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

Nurse Practitioner (Family)
1200 MEMORIAL DR
DALTON, GA 30720
Registered Nurse
1200 MEMORIAL DR
DALTON, GA 30720
Nurse Practitioner (Acute Care)
1200 MEMORIAL DR
DALTON, GA 30720
Emergency Medicine
1200 MEMORIAL DR
DALTON, GA 30720
Registered Nurse
1200 MEMORIAL DR
DALTON, GA 30720
Specialist/Technologist (Athletic Trainer)
1200 MEMORIAL DR
DALTON, GA 30720
Orthopaedic Surgery
1200 MEMORIAL DR
DALTON, GA 30720
Physical Therapy Assistant
1200 MEMORIAL DR
DALTON, GA 30720

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 Jeffery Bouadou's NPI number?

The NPI number for Jeffery Bouadou is 1114218633. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Jeffery Bouadou located?

Jeffery Bouadou practices at 1200 Memorial Dr, Dalton, GA 30720. The listed phone number is (706) 217-2207.

What is Jeffery Bouadou's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jeffery Bouadou enrolled in Medicare?

Yes. Jeffery Bouadou 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.

What insurance does Jeffery Bouadou accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jeffery Bouadou 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.

When was this NPI record last updated?

The NPPES record for Jeffery Bouadou was last updated on January 7, 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.