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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JOHNATHON BOLES
NPI 1518875665
Physician Assistant in Augusta, GA

Active since August 31, 2026PECOS Enrolled
3651 WHEELER RD, AUGUSTA, GA 30909(706) 863-9595(706) 868-8375 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnathon Boles NPPES

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

JOHNATHON BOLES (NPI 1518875665) is an individual physician assistant in Augusta, Georgia and active in the NPI registry since August 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1518875665
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHNATHON BOLES
Location Address3651 WHEELER RDAugusta, GA 30909-6521
Mailing AddressPo Box 3726Augusta, GA 30914-3726 · (706) 863-9595 · Fax (706) 868-8375
Phone(706) 863-9595
Fax(706) 868-8375
Sole ProprietorNo
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1518875665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3651 WHEELER RD, Augusta, GA 30909
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Secondary Practice Location 1

Location 13675 J Dewey Gray Cir Ste 300Augusta, GA 30909-1868 · Phone (706) 863-9595 · Fax (706) 868-8375

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnathon Boles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30909 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 20

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

AMBER DAWN TOULSON
Nurse Anesthetist, Certified Registered
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 373-3877
OQUINN MEDICAL PATHOLOGY ASSOCIATION LLC
Pathology (Anatomic Pathology & Clinical Pathology)
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 651-6544
DOCTORS HOSPITAL OF AUGUSTA NEUROLOGY LLC
Neurological Surgery
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 651-6034
MISS ELIZABETH FULLER SHELTON CRNA
Nurse Anesthetist, Certified Registered
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 651-3232
ALAN MILLEDGE SMITH MD
Anesthesiology
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 855-9860
DR. LINDSAY KING CREWS M.D.
Anesthesiology
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 651-3232
JACOB GRANT GUNTERMANN PA-C
Physician Assistant
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 651-2424
DR. STEPHEN D ADAMS DO
Pathology (Anatomic Pathology & Clinical Pathology)
3651 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 651-6544

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 Johnathon Boles's NPI number?

The NPI number for Johnathon Boles is 1518875665. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Johnathon Boles located?

Johnathon Boles practices at 3651 Wheeler Rd, Augusta, GA 30909. The listed phone number is (706) 863-9595.

What is Johnathon Boles's specialty?

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

Is Johnathon Boles enrolled in Medicare?

Yes. Johnathon Boles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnathon Boles was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.