Amanda Boulos
NPI 1194503722ActiveIndividual· Physician Assistant, Surgical· Marietta, GA
Physician Assistant, Surgical with Advanced Urology Institute of Georgia, practicing in Marietta, Georgia. Enrolled in Medicare as practitioner - physician assistant. Medtronic, Inc. was the largest of 12 companies reporting payments in 2025, $1,823 in all, mostly travel and lodging. Lists Northside Hospital Cherokee as a hospital affiliation.
Overview
| NPI | 1194503722 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 15, 2023 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 12976 | GA |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Advanced Urology Institute of GeorgiaMarietta, GA · 54 clinicians
Hospital affiliation
- Northside Hospital CherokeeCanton, GA
Industry payments (Open Payments)
- 2025$1,823 · 27 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $1,332 | 10 |
| Karl Storz Endoscopy-America | $122.37 | 1 |
| Procept Biorobotics Corporation | $71.18 | 1 |
| Endo USA, Inc. | $71.02 | 4 |
| Teleflex LLC | $42.53 | 2 |
What the 2025 payments were for
- Travel and Lodging$1,041 · 5 payments
- Food and Beverage$746.05 · 21 payments
- Education$36.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 49 surgical physician assistants in Marietta · All surgical physician assistants in Georgia