Tiffany Boulanger, AGACNP
Tiffany Boulanger, AGACNP is an Acute Care Nurse Practitioner in Marietta, GA, registered under NPI 1700308509.
Getting there
The practice address on file is 400 TOWER RD NE STE 200, Marietta, GA 30060. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 236517 | GA | Acute Care Nurse Practitioner primary |
This provider holds licence 236517 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 4981978376
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Georgia | I20170925000300 | Practitioner - Nurse Practitioner |
| Massachusetts | I20210122001044 | Practitioner - Nurse Practitioner |
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records across 2 states (GA, MA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Acute Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1700308509 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 13, 2017 |
| Last updated | Mar 28, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | AGACNP |
| Practice address |
400 TOWER RD NE STE 200 Marietta, GA 30060 (770) 422-1372 |
| Mailing address |
7400 ABERCORN STREET STE 704 BOX 104 Savannah, GA 31406 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 0 | 0 | 3 | 0 | 8 | 5 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 0 | 0 | 6 | 0 | 7 | 5 | 0 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.