Phillip Boatright Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8107 Issued in GA

Practice address

242 Industrial Blvd
Dublin, GA 31021-2904

Phone

(800) 827-6523

Fax

(126) 445-2609

NPI assigned

Aug 10, 2016

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark Spivey Orthopedic Clinic LLCGroup PAC ID 5395797336, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086
• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

Merit-based Incentive Payment System (MIPS)

Final score

54.22 of 100Reported as group

Quality

71.46

Promoting interoperability

0

Improvement activities

40

Cost

59.28

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phillip.boatright.1@16403.direct.athenahealth.com

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.

• Mark Spivey Orthopedic Clinic, LLC

  • Orthopaedic Surgery Physician
  • Vidalia, GA
  • NPI 1104017821
  Medicare reassignment Care Compare group
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Sylvania

  • Orthopaedic Surgery Physician
  • Sylvania, GA
  • NPI 1386455376
  NPD
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Dublin

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1558878884
  NPD
• Tattnall Hospital Company LLC

  dba Optim Medical Center-Tattnall Reidsville

  • Orthopaedic Surgery Physician
  • Reidsville, GA
  • NPI 1518613728
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Claxton

  • Orthopaedic Surgery Physician
  • Claxton, GA
  • NPI 1164742367
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center-Tattnall Sandersville

  • Orthopaedic Surgery Physician
  • Sandersville, GA
  • NPI 1306569520
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center - Tattnall

  • Pain Medicine Physician
  • Hinesville, GA
  • NPI 1326409442
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Swainsboro

  • Physical Medicine & Rehabilitation Physician
  • Swainsboro, GA
  • NPI 1467883892
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Baxley

  • Orthopaedic Surgery Physician
  • Baxley, GA
  • NPI 1588103592
  NPD (past)

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

• Fairview Park, Limited Partnership

  dba Fairview Park Hospital

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• Hospital Authority of Washington County

  dba Washington County Regional Medical Center

  • Rural Acute Care Hospital
  • Sandersville, GA
  • NPI 1396770004
  Care Compare affiliation
• Hospital Authority of Washington County

  • Physical Therapy Clinic/Center
  • Sandersville, GA
  • NPI 1528619491

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1043764731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MALL BLVD STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064891",
            "telephone_number": "478-289-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212904",
            "telephone_number": "800-827-6523",
            "fax_number": "126-445-2609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Harris Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748853",
            "country_code": "US",
            "telephone_number": "912-537-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Truman Rd",
            "address_purpose": "LOCATION",
            "city": "Hawkinsville",
            "state": "GA",
            "postal_code": "310364644",
            "country_code": "US",
            "telephone_number": "478-783-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Ferncrest Drive",
            "address_2": "Building A Suite 1",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "31082",
            "country_code": "US",
            "telephone_number": "478-357-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Cobb St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612634",
            "country_code": "US",
            "telephone_number": "478-456-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119B Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013234",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Rocky Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "GA",
            "postal_code": "304672044",
            "country_code": "US",
            "telephone_number": "912-654-5236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 E Winthrope Ave",
            "address_purpose": "LOCATION",
            "city": "Millen",
            "state": "GA",
            "postal_code": "304421839",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 S Main St",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "GA",
            "postal_code": "304534605",
            "country_code": "US",
            "telephone_number": "912-557-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Stephenson Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054345",
            "country_code": "US",
            "telephone_number": "912-721-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 S Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130163",
            "country_code": "US",
            "telephone_number": "800-827-6536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Glynco Pkwy Ste 30A",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315257930",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175914",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Veterans Pkwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313133991",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16915 Highway 67 Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585819",
            "country_code": "US",
            "telephone_number": "912-681-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "PHILLIP",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Arashene Blount, CPHT
• Blue Skies Senior Services, Inc. (Caring Companions)
• Ebony Blue
• Lasonnia D Blunt, LPC
• BMB Special Care
• Boland Prosthetic & Orthotic Center LLC
• Kathy Boles, RN
• Mark L Boles, M.D.
• Matthew Kaleb Boles, MD
• Melissa Alegre Bondoc

• Physician Assistant in Dublin, GA
• Providers in Dublin, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.