National Provider Identifier Database

NICHOLAS J BEAULIEU, MD – NPI #1679680557
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

NICHOLAS J BEAULIEU, MD
920 PONCE DE LEON AVE NE
920 PONCE DE LEON AVE
ATLANTA, GA30306-4212
Phone: 404-815-1957
Fax: 404-815-1954
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for NICHOLAS J BEAULIEU

NPI Number 1679680557
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 09/29/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 42176
  • GA Medicaid: 00717076E
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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