Diane Boulai, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN061853 Issued in GA

Practice address

55 Jefferson Pkwy # 55B
Newnan, GA 30263-5813

Phone

(770) 683-6946

Fax

(770) 683-6949

NPI assigned

May 18, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Willow Oak Community Behavioral Health Center

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1881131860
  NPD Authorized official
• Willow Oak Community Behavioral Health Center, Inc.

  • Community/Behavioral Health Agency
  • Riverdale, GA
  • NPI 1740936335
  NPD Authorized official
• Willow Oak Foundation, Inc.

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1588273528
  NPD Authorized official
• Helping Hands Community Based Services, Inc.

  • Case Management Agency
  • Atlanta, GA
  • NPI 1669702510
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1437442803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JEFFERSON PKWY # 55B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635813",
            "telephone_number": "678-477-3476",
            "fax_number": "770-683-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 JEFFERSON PKWY # 55B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635813",
            "telephone_number": "770-683-6946",
            "fax_number": "770-683-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULAI",
        "first_name": "DIANE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN061853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Booth
• Emma Borglin, RBT
• Anntioneek Marshelle Boston
• William T Bottoms Jr., MD
• Schnyder Boucard
• Mark T. Boutwell, D.C.
• Emily Bowden, RBT
• Sidney Bowen
• Dale H Bowers, APRN
• Erica Bowers

• Licensed Practical Nurse in Newnan, GA
• Providers in Newnan, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.