Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700874476 Deactivated / Inactive NPI Male Practitioner

Dr. Ward Clemens Bourdeaux , MD

Specialist • Atlanta, GA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ward Bourdeaux has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 07, 2005
NPI Deactivation Date September 10, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Ward Bourdeaux, MD was a registered Specialist practicing in Atlanta, GA. Throughout an active medical career spanning 16 years, Dr. Bourdeaux provided care at the practice location at 5780 PEACHTREE DUNWOODY ROAD until profile deactivation on 2021-09-10.

Practice Location & Contact Primary Location

Practice Address

5780 Peachtree Dunwoody Road
Suite 320

Atlanta, GA 303421513

Telephone 4042562943
Fax 4042566027
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.9 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
221 Specialists

Practicing in Atlanta, GA (979 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 011206

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Charles Allen , MD

Obstetrics & Gynecology

NPI 1225024250

Doctor of Medicine (M.D.)

Dr. Stephen Ayres , MD

Obstetrics & Gynecology

NPI 1265428379

Doctor of Medicine (M.D.)

Dr. James Harper , MD

Obstetrics & Gynecology

NPI 1407842271

Doctor of Medicine (M.D.)

Dr. Julie Zimmermann , MD

Obstetrics & Gynecology

NPI 1447314554

Doctor of Medicine (M.D.)

NPI 1487641304

Doctor of Medicine (M.D.)

Alisha Kramer

Obstetrics & Gynecology

NPI 1548729676

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 10, 2021

Record deactivated on September 10, 2021

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2013

Registered at 5780 PEACHTREE DUNWOODY ROAD, SUITE 320, ATLANTA, GA 303421513 (Tel: 4042562943)

📍
Updated Business Mailing Address August 08, 2013

Registered at 5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 303421513 (Tel: 4043031224)

👤
Provider Name / Credentials Updated August 08, 2013

Recorded as WARD BOURDEAUX, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Specialist (License #011206 in GA)

🟢
Initial NPI Registration & Enumeration October 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ward Bourdeaux. Be the first to share your experience!

Sign in to leave a review for Dr. Ward Bourdeaux

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700874476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2005
Last Update: August 08, 2013
Deactivation Date: September 10, 2021

Mailing Address

5780 Peachtree Dunwoody Road, Suite 300

Atlanta, GA 303421513

Phone: 4043031224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.