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NPI · 1316049000 · NPPES-sourced

Prof. Clinton Boomgarden PA

ActivePhysician Assistant
NPI Number
1316049000
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(404) 778-7230
License GA · 2221
Last Updated
Enumerated
Primary practice addressGA · 30329-2208
59 Executive Park South Ne, Suite 2098Atlanta, GA 30329-2208
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About this NPIWhat this record shows.

NPI 1316049000 is registered to Prof. Clinton Boomgarden PA, a Physician Assistant practising at 59 Executive Park South Ne, Suite 2098 in Atlanta, Georgia. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Prof. Clinton Boomgarden PA has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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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.

Practitioner

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 Prof. Clinton Boomgarden PA accepts. To confirm in-network status with your specific health plan, contact Prof. Clinton Boomgarden PA directly at (404) 778-7230.

Frequently asked

Yes. NPI 1316049000 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant 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) 778-7230.

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. Prof. Clinton Boomgarden PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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