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MADISON HANCOCK BOLES PA-C
NPI 1225501927
Physician Assistant in Augusta, GA

Active since January 04, 2019PECOS EnrolledAccepts Medicare Assignment
818 SAINT SEBASTIAN WAY STE 400, AUGUSTA, GA 30901(706) 721-8623 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2024, Feb 9, 2024, Jan 4, 2019 (3 updates tracked since 2019).

About Madison Hancock Boles Pa-c NPPES

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

MADISON HANCOCK BOLES PA-C (NPI 1225501927) is an individual physician assistant in Augusta, Georgia, licensed in Georgia (12291) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2018).

NPPES Registry Identity

NPI1225501927
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON HANCOCK BOLESCredential: PA-C
Location Address818 SAINT SEBASTIAN WAY STE 400Augusta, GA 30901-2654
Mailing Address1120 15th St # Or6000Augusta, GA 30912-0004 · (706) 721-3813
Phone(706) 721-8623
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2018
Enumeration DateJanuary 4, 2019
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1225501927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 12291✔ Licensed in NC · 0010-08610
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal MedicineTaxonomy 207R00000X · License 001008610 (NC)
818 SAINT SEBASTIAN WAY STE 400, Augusta, GA 30901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC 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

Madison Hancock Boles Pa-c 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 ID6103164074
PECOS Enrollment IDI20240620000855
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 3

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.

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.
79 services74 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.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES

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

SWADHA GURU MD
Surgery
818 SAINT SEBASTIAN WAY STE 400
AUGUSTA, GA 30901
Richmond County (706) 722-4245

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 Madison Boles's NPI number?

The NPI number for Madison Boles is 1225501927. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Madison Boles located?

Madison Boles practices at 818 Saint Sebastian Way Ste 400, Augusta, GA 30901. The listed phone number is (706) 721-8623.

What is Madison Boles's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Boles enrolled in Medicare?

Yes. Madison Boles 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 Madison Boles accept?

Health plans from Alliant Health Plans, Inc., AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Molina Healthcare and Oscar Health Plan of North Carolina, Inc list Madison Boles 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 Madison Boles affiliated with any hospitals?

According to CMS data, Madison Boles is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Madison Boles was last updated on June 20, 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.