Lauren Elizabeth Boag, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

12961 Issued in GA

Practice address

3286 Northside Pkwy NW Unit 1000
Atlanta, GA 30327-2223

Phone

(404) 841-8450

NPI assigned

Jan 31, 2025

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)

Not enrolled

Credentials

Physician Assistant

Practice roles

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.

• Peachtree Plastic Surgery

  • Specialist
  • Atlanta, GA
  • NPI 1972614832
  NPD (past)
• The Plastic Surgery Center

  • Plastic and Reconstructive Surgery Physician
  • Red Bank, NJ
  • NPI 1386613834
  NPD (past)

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1831902923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 NORTHSIDE PKWY NW UNIT 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272223",
            "telephone_number": "404-841-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 NORTHSIDE PKWY NW UNIT 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272223",
            "telephone_number": "404-841-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAG",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "12961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Eden Bluver, MS
• Rhodina Bly
• K'Mani Blyden, MD
• Nicholas Andrew Blydt-Hansen, DPT, PT
• BNN Strategic Management, LLC
• Newman Kwame Boakye-Ansa, MD
• Theophilus Boakye, 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....

• Surgical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.