Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Family Practice

Organization Family Medicine Physician · NPI 1194133884

Boulevard Family Practice is a Family Medicine Physician in Athens, Georgia. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

855 W Broad St Ste A
Athens, GA 30601-2511
Phone: (706) 850-6134
Fax: (706) 850-6318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1194133884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Weiner — Physician · (706) 850-6134
Other names Boulevard Family Practice; Boulevard Family Practice
NPI enumeratedJuly 26, 2014
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address855 W Broad St Ste A, Athens, GA 30601-2511

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