Individual provider Active NPI

Aaron B Bolds, MD, MBA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Cumming, GA
National Provider Identifier
1245737006
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
96689 Issued in GA
Practice address
907 Buford Rd
Cumming, GA 30041-2710
Phone
(404) 480-9330
NPI assigned
Apr 9, 2018
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X MD210002472 DC
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 96689 GA Primary

Addresses

Primary practice location

907 Buford Rd
Cumming, GA 30041-2710

Mailing address

7441 Mink Hollow Rd
Highland, MD 20777-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210002472DCMDSports Medicine (Physical Medicine & Rehabilitation) Physician
96689GAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barbour Orthopaedics & Sports Medicine PC Multi-Specialty Current Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients

Locations

871 Forest Pkwy
Forest Park, GA 30297
Phone (404) 363-9581

5505 Roswell Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 334-3000

Interoperability endpoints

  • Direct secure messaging: aaron.bolds@barbourortho.gadirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1245737006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 MINK HOLLOW RD",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BUFORD RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412710",
            "telephone_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDS",
        "first_name": "AARON",
        "middle_name": "B",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DC",
            "license": "MD210002472",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "96689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.