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NICHOLAS M BOULIS MD
NPI 1164485041
Neurological Surgery in Atlanta, GA

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE # CLINICB, ATLANTA, GA 30322(404) 727-2247 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas M Boulis Md NPPES

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

NICHOLAS M BOULIS MD (NPI 1164485041) is an individual neurological surgery provider in Atlanta, Georgia, licensed in Georgia (059605) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Harvard Medical School (1994).

NPPES Registry Identity

NPI1164485041
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameNICHOLAS M BOULISCredential: MD
Location Address1365 CLIFTON RD NE # CLINICBAtlanta, GA 30322
Mailing Address1365b Clifton Rd Ne Ste B6200Atlanta, GA 30322-1013 · (404) 727-2247 · Fax (404) 712-8576
Phone(404) 727-2247
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1994
Enumeration DateApril 11, 2006
Last NPPES UpdateOctober 15, 2018
✔ NPI 1164485041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in GA · 059605✔ Licensed in OH · 35079749B
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1365 CLIFTON RD NE # CLINICB, Atlanta, GA 30322
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Other Identifiers 1

Medicaid2258775OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Nicholas M Boulis Md 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 ID8224040530
PECOS Enrollment IDI20071012000224
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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services20 patients
Removal of brain neurostimulator device 61888
The removal of a brain neurostimulator device is a surgical procedure that involves taking out a small device placed in your brain. This device helps control symptoms like tremors or seizures. The process is done under anesthesia and you may need to stay in the hospital for recovery.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Nicholas Boulis's NPI number?

The NPI number for Nicholas Boulis is 1164485041. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Nicholas Boulis located?

Nicholas Boulis practices at 1365 Clifton Rd NE # Clinicb, Atlanta, GA 30322. The listed phone number is (404) 727-2247.

What is Nicholas Boulis's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Nicholas Boulis enrolled in Medicare?

Yes. Nicholas Boulis 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 Nicholas Boulis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicholas Boulis 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 Nicholas Boulis affiliated with any hospitals?

According to CMS data, Nicholas Boulis is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Nicholas Boulis was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.