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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952796344

Adam R Boissonneault, MD is an Orthopedic Surgery in Atlanta, Georgia. Qualified in 2015, 11 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone: (908) 310-5369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 57 Executive Park S, Atlanta, GA 30329-2288 — (404) 778-1567

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 88695 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952796344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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