Nicholas Boullard, MD
NPI 1811492309 · General Practice Physician · Jackson, MS
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Boullard, MD is a General Practice Physician provider in Jackson, MS (NPI 1811492309).
Provider details
- NPI number
- 1811492309
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1514 Jefferson HwyJefferson, LA 70121-2429Phone: (866) 624-7637
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Frequently asked questions
- What is Nicholas Boullard's NPI number?
- Nicholas Boullard's National Provider Identifier (NPI) is 1811492309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Boullard's specialty?
- Nicholas Boullard is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Boullard located?
- Nicholas Boullard's practice location on file with NPPES is 4026 N State St, Jackson, MS 39206-5754.
- What is Nicholas Boullard's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Boullard is (601) 813-3446.
- Does Nicholas Boullard accept Medicare?
- Nicholas Boullard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Boullard's NPI active?
- Yes — Nicholas Boullard's NPI (1811492309) is active in the NPPES registry as of the last update on 2021-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.