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JAMES BRIAN BOULWARE MA, ATC, OTC, LAT
NPI 1982739041
Specialist/Technologist - Athletic Trainer in Lilburn, GA

Active since February 22, 2007
475 BRUCE WAY SW, LILBURN, GA 30047(678) 764-6364 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About James Brian Boulware Ma, Atc, Otc, Lat NPPES

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

JAMES BRIAN BOULWARE MA, ATC, OTC, LAT (NPI 1982739041) is an individual athletic trainer provider in Lilburn, Georgia, licensed in Georgia (AT001328) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1982739041
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJAMES BRIAN BOULWARECredential: MA, ATC, OTC, LAT
Location Address475 BRUCE WAY SWLilburn, GA 30047-3025
Mailing Address1014 Sycamore Dr, Suite BDecatur, GA 30030-1644 · (404) 299-1700 · Fax (404) 299-1616
Phone(678) 764-6364
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateMay 25, 2011
✔ NPI 1982739041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT001328
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
475 BRUCE WAY SW, Lilburn, GA 30047
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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 James Boulware's NPI number?

The NPI number for James Boulware is 1982739041. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is James Boulware located?

James Boulware practices at 475 Bruce Way SW, Lilburn, GA 30047. The listed phone number is (678) 764-6364.

What is James Boulware's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for James Boulware was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.