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

Daniel J Boudreaux, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1811063894

Daniel J Boudreaux, MD is a Pathology in Athens, Georgia. Graduated from Louisiana State University School of Medicine in New Orleans in 1994, 32 years ago. Practices with St Mary's Medical Group, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
GA
In the registry since
2006
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

1230 Baxter St
Athens, GA 30606-3712
Phone: (706) 389-2400
Fax: (706) 389-2401
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 58150 (GA)

Record details

NPI number1811063894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing addressPo Box 48089, Athens, GA 30604-8089

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1994 (32 years in practice)
Group practice St. Mary'S Medical Group, Inc. — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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