Boulevard Family Practice
NPI 1508392267ActiveOrganization· Family Medicine· Athens, GA
Family Medicine in Athens, Georgia, registered in NPPES in May 2017. The authorized official on file is Thomas Weiner, MBBS, Physician.
Overview
| NPI | 1508392267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2017 |
| Last updated in NPPES | May 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 72846 | GA |
| Family Medicine | 207Q00000X | 72811 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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