GARY F BOULOUX MD, DDS
NPI 1750335733
Oral & Maxillofacial Surgery in Atlanta, GA
About Gary F Bouloux Md, Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY F BOULOUX MD, DDS (NPI 1750335733) is an individual oral & maxillofacial surgery provider in Atlanta, Georgia, licensed in Georgia (057350) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary F Bouloux Md, Dds 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gary Bouloux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAGrady Memorial Hospital
Acute Care Hospitals · Atlanta, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Gary Bouloux's NPI number?
The NPI number for Gary Bouloux is 1750335733. It was assigned to this individual provider in the NPPES registry on May 22, 2006.
Where is Gary Bouloux located?
Gary Bouloux practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-5000.
What is Gary Bouloux's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Gary Bouloux enrolled in Medicare?
Yes. Gary Bouloux 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.
Which organizations bill Medicare for Gary Bouloux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Bouloux reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, 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 Gary Bouloux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Bouloux accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gary Bouloux 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 Gary Bouloux affiliated with any hospitals?
According to CMS data, Gary Bouloux is affiliated with Emory University Hospital, Emory University Hospital Midtown, Grady Memorial Hospital and Saint Joseph's Hospital Of Atlanta, Inc.
When was this NPI record last updated?
The NPPES record for Gary Bouloux was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gary F Bouloux, MD, DDS · NPI 1750335733
Oral & Maxillofacial Surgery physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since May 22, 2006.
## Identity
- **NPI:** 1750335733 (Entity type: Individual)
- **Enumerated:** May 22, 2006
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 057350 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1365 CLIFTON RD NE, Atlanta, GA 30322-1013
- **Phone:** (404) 778-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** November 14, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1750335733) · Data from the CMS NPPES public registry.