MEDICARE: KAITLIN BOMAR NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN272355	GA

General Provider Information

NPI Number	:	1679136535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN BOMAR NP-C

Provider Business Mailing Address
First Line	:	215 HART CIR
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-3703
Country	:	US
Telephone Number	:	770-827-5487
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 HART CIR
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-3703
Country	:	US
Telephone Number	:	770-827-5487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	04/17/2019

Similar Medicare Providers

1124180179 — MRS. CYNTHIA LING FOSTER
Practice Location Address:

205 HART CIR
DALLAS, GA
30132-3703

Practice Phone: 404-863-0108
Practice Fax: 770-445-0994

1609727635 — ELEVATE NEURO DX, PLLC
Practice Location Address:

2300 N HASKELL AVE
DALLAS, TX
75204-3703

Practice Phone: 520-249-4466
Practice Fax:

1508186412 — DR. LANA BRITT AUD
Practice Location Address:

1130 BEACHVIEW ST STE 240
DALLAS, TX
75218-3703

Practice Phone: 214-324-0418
Practice Fax:

1932970498 — LAUNCHPAD HEALTH LLC
Practice Location Address:

6508 MILITARY PKWY
DALLAS, TX
75227-3703

Practice Phone: 945-265-5193
Practice Fax:

1023824570 — MRS. MEGAN RENEE HAGAN PNP-PC
Practice Location Address:

3947 CLOVER LN
DALLAS, TX
75220-3703

Practice Phone: 402-660-6548
Practice Fax:

1396615605 — ELEVATE NEUROTECH LLC
Practice Location Address:

2300 N HASKELL AVE
DALLAS, TX
75204-3703

Practice Phone: 520-249-4466
Practice Fax:

Directions to “ KAITLIN BOMAR NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.