Angela Y Bolger, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN200066 Issued in GA

Practice address

121 Langley Dr
Lawrenceville, GA 30046-6930

Phone

(770) 685-1300

Fax

(770) 685-1311

NPI assigned

Oct 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Angela Y Sawyer Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gwinnett Physician Group, LLC

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1578574661
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1134318702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LANGLEY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466930",
            "telephone_number": "770-685-1300",
            "fax_number": "770-685-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LANGLEY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466930",
            "telephone_number": "770-685-1300",
            "fax_number": "770-685-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300961407",
            "country_code": "US",
            "telephone_number": "770-622-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLGER",
        "first_name": "ANGELA",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN200066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN200066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SAWYER",
            "middle_name": "Y",
            "prefix": "MISS",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Bolen Chiropractic, Inc.
• Kavita Vanguru Bollavaram, M.D
• Bolt Eye Group - Lawrenceville LLC
• Katherine Bonas, M.ED., CCC-SLP
• Pauline Carmela Bondoc-Roaquin, P.T.
• Joan Boneberg, M.S.

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.