James A Boutselis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001535 Issued in GA

Practice address

150 Gentilly Blvd
Cartersville, GA 30120-8522

Phone

(770) 276-7245

Fax

(770) 276-7246

NPI assigned

Jan 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harbin Clinic, LLC

  dba Harbin Clinic

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  NPD
• Cardio Thoracic Vascular & Pediatric Surgery Assoc PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Macon, GA
  • NPI 1366516338
  NPD (past)
• The Hemlock Pain Center, LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1821047069
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952380198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GENTILLY BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208522",
            "telephone_number": "770-276-7245",
            "fax_number": "770-276-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTSELIS",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "001535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Boecler, D.M.D., M.S.
• Anna Robinson Boling, PT
• Scott Bonk, LMFT
• Jovas C. Booker, D.M.D
• Alexandria Boss
• Michelle Bowers
• Michelle Jene Bradshaw
• Kunal Brahmbhatt
• Lynn Michele Brandt, NP
• Louisa Porter Branscomb, PH.D.

• Physician Assistant in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.