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NPI · 1164091120 · NPPES-sourced

Jacob Boise

ActiveStudent in an Organized Health Care Education/Training Program
NPI Number
1164091120
Type 1 · Individual
Contact
(404) 727-5655
Primary practice line
Last Updated
About 4 years ago (Jun 2021)
Enumerated 2021-06-23
Primary practice addressGA · 30322-1020
100 Woodruff Cir Ne Ste P375Atlanta, GA 30322-1020
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About this NPIWhat this record shows.

NPI 1164091120 is registered to Jacob Boise, a Student in an Organized Health Care Education/Training Program practising at 100 Woodruff Cir Ne Ste P375 in Atlanta, Georgia. Student in an Organized Health Care Education/Training Program is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jacob Boise has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2021-06-23
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacob Boise accepts. To confirm in-network status with your specific health plan, contact Jacob Boise directly at (404) 727-5655.

Frequently asked

Yes. NPI 1164091120 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Student in an Organized Health Care Education/Training Program is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (404) 727-5655.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacob Boise is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy390200000X
Last updated2021-06
Enumerated2021-06-23
StatusActive
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