Bolanle George, BSMT(AMT), MPH

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

154643 Issued in IL

Practice address

5181 Pat Wiley Dr
Powder Springs, GA 30127-2457

Phone

(404) 819-4557

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19117/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1528493434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MITCHELL ST SW",
            "address_2": "SUITE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033304",
            "telephone_number": "404-819-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5181 PAT WILEY DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272457",
            "telephone_number": "404-819-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BOLANLE",
        "credential": "BSMT(AMT), MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "IL",
            "license": "154643",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "IL",
            "license": "154643",
            "primary": true
        },
        {
            "code": "246ZB0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biostatistician",
            "state": "IL",
            "license": "154643",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Technologist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Medical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.