Amanda Boulos
NPI 1194503722 · Surgical Physician Assistant · Marietta, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Boulos is a Surgical Physician Assistant provider in Marietta, GA (NPI 1194503722).
Provider details
- NPI number
- 1194503722
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Amanda Boulos's NPI number?
- Amanda Boulos's National Provider Identifier (NPI) is 1194503722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Boulos's specialty?
- Amanda Boulos is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amanda Boulos located?
- Amanda Boulos's practice location on file with NPPES is 1371 Church Street Ext Ne, Marietta, GA 30060-7913.
- What is Amanda Boulos's phone number?
- The practice phone number listed in the NPPES registry for Amanda Boulos is (678) 481-0579.
- Does Amanda Boulos accept Medicare?
- Amanda Boulos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Boulos's NPI active?
- Yes — Amanda Boulos's NPI (1194503722) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.