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BOULEVARD FAMILY PRACTICE
NPI 1194133884
Family Medicine in Athens, GA

Active since July 26, 2014
855 W BROAD ST STE A, ATHENS, GA 30601(706) 850-6134(706) 850-6318 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2020, Nov 21, 2016 (2 updates tracked since 2016).

About Boulevard Family Practice NPPES

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

BOULEVARD FAMILY PRACTICE (NPI 1194133884) is a healthcare organization registered as a family medicine in Athens, Georgia and active in the NPI registry since July 2014. The organization lists Thomas Weiner, Physician, as its authorized official.

NPPES Registry Identity

NPI1194133884
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOULEVARD FAMILY PRACTICE
Location Address855 W BROAD ST STE AAthens, GA 30601-2511
Mailing Address855 W Broad St Ste AAthens, GA 30601-2511 · (706) 850-6134 · Fax (706) 850-6318
Phone(706) 850-6134
Fax(706) 850-6318
Organization SubpartNo
Authorized OfficialThomas WeinerPhysician · (706) 850-6134
Enumeration DateJuly 26, 2014
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1194133884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
855 W BROAD ST STE A, Athens, GA 30601
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Other Names 1

Doing Business AsBoulevard Family Practice

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

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.

REDDY MEDICAL GROUP LLC
Internal Medicine
855 W BROAD ST STE A
ATHENS, GA 30601
Clarke County (706) 621-7575
DR. THOMAS WEINER MBBS
Family Medicine
855 W BROAD ST STE A
ATHENS, GA 30601
Clarke County (706) 850-6134
MR. ULYS RANDALL RINER PA
Physician Assistant
855 W BROAD ST STE A
ATHENS, GA 30601
Clarke County (706) 621-7575
AMBREEN S ANSARI D.O.
Family Medicine
855 W BROAD ST STE A
ATHENS, GA 30601
Clarke County (706) 850-6134

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 Boulevard Family Practice's NPI number?

The NPI number for Boulevard Family Practice is 1194133884. It was assigned to this organization in the NPPES registry on July 26, 2014.

Where is Boulevard Family Practice located?

Boulevard Family Practice is located at 855 W Broad St Ste A, Athens, GA 30601. The listed phone number is (706) 850-6134.

What is Boulevard Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Boulevard Family Practice was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.