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

Individual provider Acute Care Nurse Practitioner · NPI 1003470402

Mitchell Boles, APRN is a Nurse Practitioner in Newnan, Georgia. Qualified in 2019, 7 years ago. Practices with City of Hope Medical Group of Georgia LLC, a 136-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1665 Highway 34 E Ste 100
Newnan, GA 30265-2404
Phone: (770) 252-7557
Fax: (770) 252-7513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105a Corporate Plaza Dr, Lagrange, GA 30241-2801 — (678) 800-0099

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN233677 (GA)

Record details

NPI number1003470402
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedMay 1, 2019
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address1665 Highway 34 E Ste 100, Newnan, GA 30265-2404

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice City Of Hope Medical Group Of Georgia Llc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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