Dr Adam Noah Bouldin, APRN - Nurse Practitioner in Stockbridge, GA

Dr Adam Noah Bouldin, APRN is a Nurse Practitioner - Psychiatric/mental Health physician based in Stockbridge, Georgia. Dr Adam Noah Bouldin is licensed to practice in California (license number G143626) and his current practice location is 75 Kitty Hawk Dr, Stockbridge, Georgia. He can be reached at his office (for appointments etc.) via phone at (404) 539-6248.

NPI number for Dr Adam Noah Bouldin is 1518609486 and his current mailing address is 75 Kitty Hawk Dr, Stockbridge, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518609486.

Contact Information

Dr Adam Noah Bouldin, APRN
75 Kitty Hawk Dr,
Stockbridge, GA 30281-4722
(404) 539-6248
Not Available



Physician's Profile

Full NameDr Adam Noah Bouldin
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location75 Kitty Hawk Dr, Stockbridge, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518609486
  • Provider Enumeration Date: 04/11/2022
  • Last Update Date: 05/02/2022

Medical Identifiers

Medical identifiers for Dr Adam Noah Bouldin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518609486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 210847 (Georgia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 210847 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health G143626 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adam Noah Bouldin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Adam Noah Bouldin, APRN
75 Kitty Hawk Dr,
Stockbridge, GA 30281-4722

Ph: (404) 539-6248
Dr Adam Noah Bouldin, APRN
75 Kitty Hawk Dr,
Stockbridge, GA 30281-4722

Ph: (404) 539-6248

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