NPIMap

Individual provider Active NPI

Christian Joseph Bolea, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1982990123
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
005084 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(478) 633-1700
Fax
(478) 633-7032
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 005084 GA Primary

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

340 Hodgson CT
Ste 4
Savannah, GA 31406-1523
Phone (912) 657-4217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160210000567 PA Practitioner - HospitalistPractitioner - Internal Medicine 5597911420 Reassigns benefits to 1 organization
I20160311002026 GA Practitioner - Internal Medicine 5597911420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

110 N Main St
Upmc Horizon Hospital
Greenville, PA 16125-1726
Phone (724) 589-6161

Hospital & facility affiliations

  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Upmc Greene Hospital, Waynesburg, PA, CCN 390150
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Upmc Greene Nursing home, CCN 39U150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
005084GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Advanced Medical Resources of Wayne County, LLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2021 Accepting new patients
Upmc Washington Past Accepting new patients
Upmc Greene Past Accepting new patients

Locations

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

340 Hodgson Ct
Ste 4
Savannah, GA 31406
Phone (912) 429-0841

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: boleacj2@kch.securechart.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453507200000",
    "number": "1982990123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT",
            "address_2": "STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061523",
            "telephone_number": "912-657-4217",
            "fax_number": "866-897-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-1700",
            "fax_number": "478-633-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEA",
        "first_name": "CHRISTIAN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2016-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "005084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.