Individual provider Active NPI

Erica Chanise Bolar, DNP, FNP, CARN-AP

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1285995845
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN191538 Issued in GA
Practice address
6045 Atlantic Blvd Ste 225
Norcross, GA 30071-1327
Phone
(678) 250-4659
Fax
(404) 868-5162
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN191538 GA Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X RN191538 GA

Addresses

Primary practice location

6045 Atlantic Blvd Ste 225
Norcross, GA 30071-1327

Mailing address

1954 Airport Rd Ste 670
Atlanta, GA 30341-4956
Phone (678) 250-4659

Other practice location 1

1954 Airport Rd Ste 670
Atlanta, GA 30341-4956
Phone (678) 250-4659

Other practice location 2

960 S City Blvd Ste 2037
Waycross, GA 31501-4286
Phone (678) 250-4659

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130503000048 GA Practitioner - Nurse Practitioner 0840437208 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Hospice of Georgia, LLC Multi-Specialty CurrentSince Feb 21, 2020 Accepting new patients
Medical Director Services PC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Serenitymed Recovery, LLC Multi-Specialty CurrentSince Jun 25, 2025 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Multi-Specialty CurrentSince Apr 22, 2021 Accepting new patients
Hardy Renew Wellness,LLC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Lanier Hospice LLC Past Accepting new patients
Dynamic Health Care Systems, LLC PastSince Nov 1, 2019 Accepting new patients
Crossroads Hospice of Atlanta LLC Multi-Specialty PastSince Feb 6, 2019 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

1954 Airport Rd
Ste 670
Atlanta, GA 30341
Phone (678) 250-4659

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4360 Johnson Ferry Pl
Marietta, GA 30068
Phone (770) 971-5870

6045 Atlantic Blvd
Ste 225
Norcross, GA 30071
Phone (678) 250-4659

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

L2540
Columbus, OH 43260

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1285995845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 AIRPORT RD STE 670",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414956",
            "telephone_number": "678-250-4659",
            "fax_number": "404-868-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 ATLANTIC BLVD STE 225",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711327",
            "telephone_number": "678-250-4659",
            "fax_number": "404-868-5162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1954 Airport Rd Ste 670",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303414956",
            "country_code": "US",
            "telephone_number": "678-250-4659",
            "fax_number": "404-868-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 S City Blvd Ste 2037",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315014286",
            "country_code": "US",
            "telephone_number": "678-250-4659",
            "fax_number": "404-868-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAR",
        "first_name": "ERICA",
        "middle_name": "CHANISE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, CARN-AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191538",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN191538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.