NPIMap

Individual provider Active NPI

Richard Boyles, MD

  • Family Medicine Physician
  • Blackville, SC
National Provider Identifier
1003820531
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12925 Issued in SC
Practice address
130 Baker St N
Blackville, SC 29817-2426
Phone
(803) 284-1045
Fax
(803) 284-3094
NPI assigned
Jul 28, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12925 SC Primary

Addresses

Primary practice location

130 Baker St N
Blackville, SC 29817-2426

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other identifiers 3

IdentifierTypeStateIssuer
129257MedicaidSC
B92027OtherSCMEDICARE
12925OtherSCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001155 SC Practitioner - Family Practice 7618900523 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

10706 Marlboro Ave
Barnwell, SC 29812-6376
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817-2426
Phone (803) 284-1045

185 McGee St
Bamberg, SC 29003-1154
Phone (803) 956-6100

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

526 N St
Bamberg, SC 29003-1319
Phone (803) 245-2433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc. CurrentSince Apr 13, 2005 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Sep 26, 2016 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 11, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Sep 26, 2016 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 11, 2020 Accepting new patients
Low Country Health Care System, Inc Family Medicine CurrentSince Feb 14, 2019 Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 13, 2005 Accepting new patients
Low Country Health Care System, Inc Past Accepting new patients

Locations

209 Abbeville Ave NW
Aiken, SC 29801
Phone (803) 306-1433

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

13649 Church St
Williston, SC 29853
Phone (803) 266-0060

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1003820531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BAKER ST N",
            "city": "BLACKVILLE",
            "state": "SC",
            "postal_code": "298172426",
            "telephone_number": "803-284-1045",
            "fax_number": "803-284-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129257",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "B92027",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12925",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackville, SC

Sources for this page

Verify at the official NPI Registry.