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TAYLOR BRITTAIN BOUDREAUX NP
NPI 1194502120
Nurse Practitioner - Family in Athens, GA

Active since September 13, 2023PECOS Enrolled
1088 BAXTER ST UNIT C, ATHENS, GA 30606(706) 353-0606 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 9, 2024, Sep 2, 2024, Aug 23, 2024 (3 updates tracked since 2024).

About Taylor Brittain Boudreaux Np NPPES

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

TAYLOR BRITTAIN BOUDREAUX NP (NPI 1194502120) is an individual family provider in Athens, Georgia, licensed in Georgia (APRN-NP277566) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194502120
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAYLOR BRITTAIN BOUDREAUXCredential: NP
Location Address1088 BAXTER ST UNIT CAthens, GA 30606-6316
Mailing Address1088 Baxter St Unit CAthens, GA 30606-6316 · (706) 353-0606
Phone(706) 353-0606
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 13, 2023
Last NPPES UpdateOctober 29, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1194502120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP277566
1088 BAXTER ST UNIT C, Athens, GA 30606
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Brittain Boudreaux Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698208189
PECOS Enrollment IDI20241022004557
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 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

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 Taylor Boudreaux's NPI number?

The NPI number for Taylor Boudreaux is 1194502120. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Taylor Boudreaux located?

Taylor Boudreaux practices at 1088 Baxter St Unit C, Athens, GA 30606. The listed phone number is (706) 353-0606.

What is Taylor Boudreaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Taylor Boudreaux enrolled in Medicare?

Yes. Taylor Boudreaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Boudreaux was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.