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EMERSON BOULDIN
NPI 1861136418
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 20, 2022PECOS Enrolled
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emerson Bouldin NPPES

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

EMERSON BOULDIN (NPI 1861136418) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861136418
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMERSON BOULDIN
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address636 Darlington Cir NeAtlanta, GA 30305-2705 · (404) 668-1795
Phone(404) 712-2000
Sole ProprietorNo
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1861136418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1364 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 (PECOS)

Emerson Bouldin 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.

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.

DR. MAUREEN E. HAAS PHARMD, BCPS
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-4019
MS. RENEE MICHELLE DEVINE PHARM D
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE, DEPARTMENT OF PHARMACY EG22
ATLANTA, GA 30322
Dekalb County (404) 712-7505
GLORIA J. IANNONE CRNA
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE, STE B3
ATLANTA, GA 30322
Dekalb County (770) 645-9181
ASHLEY LYN SLAPPY MD
Surgery
1364 CLIFTON RD NE, SUITE A3300
ATLANTA, GA 30322
Dekalb County (404) 778-3712
DIAN DOWLING EVANS FNP
Nurse Practitioner (Family)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2908
ALEXANDER DUNCAN MD
Pathology (Clinical Pathology/Laboratory Medicine)
1364 CLIFTON RD NE, ROOM F145
ATLANTA, GA 30322
Dekalb County (404) 712-7294
CYNTHIA COHEN M.D.
Pathology (Anatomic Pathology)
1364 CLIFTON RD NE, RM. G144
ATLANTA, GA 30322
Dekalb County (404) 712-7005
TRISTRAM G. PARSLOW M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE, ROOM H184
ATLANTA, GA 30322
Dekalb County (404) 727-8657

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 Emerson Bouldin's NPI number?

The NPI number for Emerson Bouldin is 1861136418. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Emerson Bouldin located?

Emerson Bouldin practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Emerson Bouldin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emerson Bouldin enrolled in Medicare?

Yes. Emerson Bouldin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emerson Bouldin was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.