ANGEL BROWN BOULWARE (FNP-C) – Family Nurse Practitioner, NPI 1467704429
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for ANGEL BROWN BOULWARE (FNP-C)
4288 Memorial Dr Ste B
Decatur, GA 300321229
Phone: (770) 456-5701
Fax: (770) 456-5701
Type: Location
2200 MEDICAL CENTER BLVD STE 400
LAWRENCEVILLE, GA 300467769
Phone: (678) 582-8586
Type: Location
2112 BOTANICAL CIR NW
BETHLEHEM, GA 306204732
Phone: (770) 266-0181
Type: Mailing
3610 WYNTERSET DR
SNELLVILLE, GA 300398631
Phone: (404) 388-3421
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-09-15 • Largest payer in this snapshot: Medline Industries LP ($46).
Total Amount
$102
General + Research + Ownership
Payments
4
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $46 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $34 |
| Abbott Laboratories | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141106000863 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 69 | 67 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 29 | 29 | $0 |
Insurance plans in this area (ZIP 30032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | GA | |
| Interventional Cardiology | GA | |
| Physician Assistant | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | MI | |
| Cardiovascular Disease (Cardiology) | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | GA | |
| Cardiovascular Disease (Cardiology) | GA |
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