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

Individual provider Family Medicine Physician · NPI 1114218633

Dr. Jeffery Leroy Bouadou, MD is a Family Practice in Dalton, Georgia. Qualified in 2010, 16 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Licensed in
GA
In the registry since
2011
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

1200 Memorial Dr
Dalton, GA 30720-2529
Phone: (706) 217-2207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 316 N Broad St, Winder, GA 30680-2150 — (770) 867-3400

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 071932 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 071932 (GA)

Record details

NPI number1114218633
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2011
Last updated in NPPESJanuary 7, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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