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ELISE BOUDREAUX CAA
NPI 1619673027
Anesthesiologist Assistant in Atlanta, GA

Active since February 07, 2023Accepts Medicare Assignment
1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-5437 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elise Boudreaux Caa NPPES

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

ELISE BOUDREAUX CAA (NPI 1619673027) is an individual anesthesiologist assistant in Atlanta, Georgia and active in the NPI registry since February 2023. She is affiliated with Children's Healthcare Of Atlanta At Egleston and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619673027
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameELISE BOUDREAUXCredential: CAA
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060
Mailing Address1105 Clairemont Ave Apt PDecatur, GA 30030-1256 · (503) 939-4962
Phone(404) 785-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1619673027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1405 CLIFTON RD NE, Atlanta, GA 30322
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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 and accepts Medicare assignment

Elise Boudreaux Caa 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 ID8224494927
PECOS Enrollment IDI20230523001601

Hospital Affiliations CMS Care Compare

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

OwnershipVoluntary non-profit - Private
CMS Certification Number113300
Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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.

CARRIE NG MD
Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7141
MR. MARCOS FRANCISCO MILLS MD
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 256-2593
MEAGAN GREEN PNP
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6330
EVAN ORENSTEIN MD
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6104
CAITLIN QUIGLEY CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
EIMAN ABDULRAHMAN M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7142
CAROL JOHN MD
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
DR. BRANDON W KIRKLAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6210

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 Elise Boudreaux's NPI number?

The NPI number for Elise Boudreaux is 1619673027. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Elise Boudreaux located?

Elise Boudreaux practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 785-5437.

What is Elise Boudreaux's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Elise Boudreaux enrolled in Medicare?

Yes. Elise Boudreaux 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.

Is Elise Boudreaux affiliated with any hospitals?

According to CMS data, Elise Boudreaux is affiliated with Children's Healthcare Of Atlanta At Egleston.

When was this NPI record last updated?

The NPPES record for Elise Boudreaux was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.