Physician Assistant, Medical
GREG BOLTON PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255448361 · enumerated 2006-08-24 · record updated 2023-07-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4100 EMBASSY DR SE, SUITE 200, GRAND RAPIDS, MI, 49546-2416 (616) 975-1845 Google Maps Apple Maps OpenStreetMap
- Practice location 2495 SHREVEPORT HWY, PINEVILLE, LA, 71360-4044 (318) 473-0010 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA.A10512.RX LA
- Physician Assistant, Medical 363AM0700X · Primary · License A10512 LA
In this directory
Locations and evidence
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Practice location
PINEVILLE, LA, 713604044
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.