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MIRIAM BOULAY CRNA
NPI 1215786785
Nurse Anesthetist, Certified Registered in Marietta, GA

Active since May 16, 2024
2540 WINDY HILL RD SE, MARIETTA, GA 30067(470) 644-1274(470) 644-1119 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2024, May 16, 2024 (2 updates tracked since 2024).

About Miriam Boulay Crna NPPES

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

MIRIAM BOULAY CRNA (NPI 1215786785) is an individual nurse anesthetist, certified registered in Marietta, Georgia, licensed in Georgia (RN250948) and active in the NPI registry since May 2024. She is affiliated with Wellstar Kennestone Regional Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215786785
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMIRIAM BOULAYCredential: CRNA
Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605
Mailing Address6791 Fairway Ridge DrDouglasville, GA 30134-1713 · (774) 444-0057
Phone(470) 644-1274
Fax(470) 644-1119
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 16, 2024
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1215786785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN250948
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2540 WINDY HILL RD SE, Marietta, GA 30067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Boulay Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991241747
PECOS Enrollment IDI20240729002210

Medicare Billing Reassignments

2

Medicare enrollment records show Miriam Boulay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
Same address
Psychiatry
2540 WINDY HILL RD SE
Marietta, GA 30067
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1629361605 (770) 644-1570
Mak Anesthesia Holdings LLC
9.1 mi
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

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.

NAZIM ALI SYED MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 732-4022
SHARI STOKES M.D.
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
DR. NILAY NIRDOSH MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1000
MARIO TORRES-NIEVES
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
SHAWN MICHAEL KADE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
ROBERT J DELPOZO M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
DR. KRISTY HENDRICKS JACKSON M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
IFFAT BHUIYAN MD
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570

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 Miriam Boulay's NPI number?

The NPI number for Miriam Boulay is 1215786785. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Miriam Boulay located?

Miriam Boulay practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (470) 644-1274.

What is Miriam Boulay's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Miriam Boulay enrolled in Medicare?

Yes. Miriam Boulay is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miriam Boulay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Boulay reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and Mak Anesthesia Holdings LLC (Kennesaw, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Boulay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Boulay accept?

Health plans from Alliant Health Plans, Inc. list Miriam Boulay 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 Miriam Boulay affiliated with any hospitals?

According to CMS data, Miriam Boulay is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Miriam Boulay was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.