Mark Boudreau, DO
NPI 1659834323 · Pediatrics Physician · Rome, GA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Boudreau, DO is a Pediatrics Physician provider in Rome, GA (NPI 1659834323).
Provider details
- NPI number
- 1659834323
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 11273 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2370 Rockmart Hwy Ste 100Cedartown, GA 30125-6029Phone: (770) 748-7818
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2023-05-26
- Certified
- 2023-05-26
Frequently asked questions
- What is Mark Boudreau's NPI number?
- Mark Boudreau's National Provider Identifier (NPI) is 1659834323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Boudreau's specialty?
- Mark Boudreau is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Boudreau located?
- Mark Boudreau's practice location on file with NPPES is 304 Shorter Ave Nw Ste 105, Rome, GA 30165-4256.
- What is Mark Boudreau's phone number?
- The practice phone number listed in the NPPES registry for Mark Boudreau is (706) 236-4880.
- Does Mark Boudreau accept Medicare?
- Mark Boudreau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Boudreau's NPI active?
- Yes — Mark Boudreau's NPI (1659834323) is active in the NPPES registry as of the last update on 2023-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.