Dr. Nicholas Boullard , MD
General Practice โข Jackson, MS
4026 N State St
Jackson, MS 392065754
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
4026 N State St
Jackson, MS 392065754
NPPES lists 1 additional practice-address record in Jefferson, LA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $20.10 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Boullard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Boullard as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Jackson and Mississippi
7 active clinicians are listed under General Practice with a practice address in Jackson, MS (72 in Mississippi).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $52.02 in 2021 to $20.10 in 2024.
- 2021: $52.02
- 2022: $16.12
- 2023: $15.31
- 2024: $20.10
Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $20.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
GARDASIL | General | $20.10 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-08-11NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - PEDIATRIC MEDICINE
I20181016002721
LA
6507118742
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1514 Jefferson Hwy
Jefferson, LA 701212429
Phone: 8666247637
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Student in an Organized Health Care Education/Training Program
Registered at 4026 N STATE ST, JACKSON, MS 392065754 (Tel: 6018133446)
Registered at 4026 N STATE ST, JACKSON, MS 392065754
Recorded as NICHOLAS BOULLARD, MD
General Practice (license number reported to NPPES: MS 28006)
NPI status registered as active in NPPES database
Registered at 1514 JEFFERSON HWY, JEFFERSON, LA 701212429 (Tel: 8666247637)
Registered at 4740 S I 10 SERVICE RD W STE 120, METAIRIE, LA 700011214 (Tel: 5049885458)
Recorded as NICHOLAS BOULLARD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Jackson
Healthcare providers in JacksonMailing Address
4026 N State St
Jackson, MS 392065754