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RENEE BOUDREAUX ATC
NPI 1770004715
Podiatrist - Sports Medicine in Macon, GA

Active since June 29, 2017
1501 MERCER UNIVERSITY DR, MACON, GA 31207(478) 301-4609 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renee Boudreaux Atc NPPES

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

RENEE BOUDREAUX ATC (NPI 1770004715) is an individual sports medicine provider in Macon, Georgia, licensed in Georgia (AT003149) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1770004715
Entity TypeIndividualFemale
Primary Taxonomy213ES0000X
Provider Legal NameRENEE BOUDREAUXCredential: ATC
Location Address1501 MERCER UNIVERSITY DRMacon, GA 31207
Mailing Address1501 Mercer University DrMacon, GA 31207-1515
Phone(478) 301-4609
Sole ProprietorYes
Enumeration DateJune 29, 2017
✔ NPI 1770004715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License✔ Licensed in GA · AT003149
1501 MERCER UNIVERSITY DR, Macon, GA 31207
Open in Google Maps ↗

Other Identifiers 1

OtherBOC317023GA · Athletic Training

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.

CAROLYN HOWARD ATC, LAT
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-2371
CHASE HANDLEY ATC
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-4609
MR. JOHN OWEN YOUNGBLOOD III MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 955-1587
RAQUEL WARRICK A.T.C
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-2371
MERCER UNIVERSITY
Orthopaedic Surgery
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-2994
AARON HERNDON
Prevention Professional
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 718-2165
MISS INDYA DENISE BROWN
Emergency Medicine (Sports Medicine)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (478) 301-4609
NICOLE SIBERT
Specialist/Technologist (Athletic Trainer)
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Bibb County (688) 467-9973

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 Renee Boudreaux's NPI number?

The NPI number for Renee Boudreaux is 1770004715. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Renee Boudreaux located?

Renee Boudreaux practices at 1501 Mercer University Dr, Macon, GA 31207. The listed phone number is (478) 301-4609.

What is Renee Boudreaux's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

When was this NPI record last updated?

The NPPES record for Renee Boudreaux was last updated on June 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.