Active NPI
Theophilus Boakye, MD
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
National Provider Identifier
1548061625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 720 Westview Dr SW
Atlanta, GA 30310-1458 - Phone
- (404) 756-1325
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
720 Westview Dr SW
Atlanta, GA 30310-1458
Mailing address
154 Pinecove Ave
Odenton, MD 21113-2645
Phone (240) 713-9102
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1548061625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 PINECOVE AVE",
"city": "ODENTON",
"state": "MD",
"postal_code": "211132645",
"telephone_number": "240-713-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WESTVIEW DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101458",
"telephone_number": "404-756-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAKYE",
"first_name": "THEOPHILUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- K'Mani Blyden, MD
- Nicholas Andrew Blydt-Hansen, DPT, PT
- BNN Strategic Management, LLC
- Lauren Elizabeth Boag, PA
- Newman Kwame Boakye-Ansa, MD
- Catherine Boalch, RPH, PHARM.D.
- Board of Regents of the University System of Georgia and on Behalf....
- Board of Regents of the University System of Georgia and on Behalf....
- Kelly Board, APRN, NP-C
- Afua Sarpon Boaten, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.