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MR. NICHOLAS JEAN BEAULIEU M.D.
NPI 1679680557
Preferred Provider Organization in Atlanta, GA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
920 PONCE DE LEON AVE NE, 920 PONCE DE LEON AVE, ATLANTA, GA 30306(404) 815-1957(404) 815-1954 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Nicholas Jean Beaulieu M.d. NPPES

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

MR. NICHOLAS JEAN BEAULIEU M.D. (NPI 1679680557) is an individual preferred provider organization provider in Atlanta, Georgia, licensed in Georgia (42176) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Morehouse School Of Medicine (1993).

NPPES Registry Identity

NPI1679680557
Entity TypeIndividualMale
Primary Taxonomy305R00000X
Provider Legal NameMR. NICHOLAS JEAN BEAULIEUCredential: M.D.
Location Address920 PONCE DE LEON AVE NE, 920 PONCE DE LEON AVEAtlanta, GA 30306-4212
Mailing Address920 Ponce De Leon Ave Ne, 920 Ponce De Leon AveAtlanta, GA 30306-4212 · (404) 815-1957 · Fax (404) 815-1954
Phone(404) 815-1957
Fax(404) 815-1954
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 1993
Enumeration DateAugust 24, 2006
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1679680557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in GA · 42176
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
920 PONCE DE LEON AVE NE, Atlanta, GA 30306
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Other Names 1

Other Name (5)Dr. Nicholas Jean Beaulieu M.d.

Other Identifiers 1

Medicaid00717076EGA

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

Mr. Nicholas Jean Beaulieu M.d. 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 ID5496740490
PECOS Enrollment IDI20040420000105
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.

Hospital Affiliations CMS Care Compare 2

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Other Providers at the Same Location NPPES 4

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

HIGHLAND URGENT CARE AND FAMILY MEDICINE
Preferred Provider Organization
920 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Fulton County (404) 815-1957
HIGHLAND URGENT CARE AND FAMILY MEDICINE LLC
Clinic/Center (Emergency Care)
920 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Fulton County (404) 815-1957
HIGHLAND URGENT CARE AND FAMILY MEDICINE LLC
Clinic/Center (Urgent Care)
920 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Fulton County (404) 815-1957
AMY HATFIELD P.A.
Physician Assistant
920 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Fulton County (404) 815-1957

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 Nicholas Beaulieu's NPI number?

The NPI number for Nicholas Beaulieu is 1679680557. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Dr. Nicholas Jean Beaulieu M.D..

Where is Nicholas Beaulieu located?

Nicholas Beaulieu practices at 920 Ponce De Leon Ave NE 920 Ponce De Leon Ave, Atlanta, GA 30306. The listed phone number is (404) 815-1957.

What is Nicholas Beaulieu's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Nicholas Beaulieu enrolled in Medicare?

Yes. Nicholas Beaulieu 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 Nicholas Beaulieu affiliated with any hospitals?

According to CMS data, Nicholas Beaulieu is affiliated with Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Beaulieu was last updated on September 29, 2022. 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.