PHILIP BOADU NP
NPI 1992314439
Nurse Practitioner - Family in Loganville, GA
About Philip Boadu Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP BOADU NP (NPI 1992314439) is an individual family provider in Loganville, Georgia, licensed in Georgia (APRN-NP303104) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of City University Of New York School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 3
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
Philip Boadu Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Philip Boadu's NPI number?
The NPI number for Philip Boadu is 1992314439. It was assigned to this individual provider in the NPPES registry on July 30, 2020.
Where is Philip Boadu located?
Philip Boadu practices at 4763 Atlanta Hwy Ste 420, Loganville, GA 30052. The listed phone number is (404) 395-6781.
What is Philip Boadu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Philip Boadu enrolled in Medicare?
Yes. Philip Boadu 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.
When was this NPI record last updated?
The NPPES record for Philip Boadu was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Philip Boadu, NP · NPI 1992314439
Family physician in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since July 30, 2020.
## Identity
- **NPI:** 1992314439 (Entity type: Individual)
- **Enumerated:** July 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP303104 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4763 ATLANTA HWY STE 420, Loganville, GA 30052-6788
- **Phone:** (404) 395-6781
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** City University Of New York School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992314439) · Data from the CMS NPPES public registry.