Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Prof. Clinton L Boomgarden, PA
Physician Assistant in Atlanta, GA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1316049000
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Registry record
Entity type Individual (Type 1)
Name Prof. Clinton L Boomgarden
Credential PA
Sex Male
Practice address 59 Executive Park South Ne, Suite 2098, Atlanta, GA, 30329
Phone (404) 778-7230
Fax (404) 778-3835
Enumeration date Sep 2, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2221 (GA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Clinton Boomgarden?
The National Provider Identifier (NPI) for Clinton Boomgarden is 1316049000, a Type 1 (individual) record in the CMS NPPES registry.
Where does Clinton Boomgarden practice?
The practice location on file with NPPES is in Atlanta, GA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.