Individual provider Active NPI

Boone Goodwin Rountree, DO, M.ED.

  • Child & Adolescent Psychiatry Physician
  • Woodstock, AL
National Provider Identifier
1083101257
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
DO.2172 Issued in AL
Practice address
28921 Highway 5
Woodstock, AL 35188-3613
Phone
(205) 938-9348
Fax
(855) 840-6915
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO.2172 AL
Child & Adolescent Psychiatry Physician 2084P0804X DO.2172 AL Primary

Addresses

Primary practice location

28921 Highway 5
Woodstock, AL 35188-3613

Mailing address

28921 Highway 5
Woodstock, AL 35188-3613

Other practice location 1

1713 6th Ave S
Birmingham, AL 35294-3613
Phone (205) 934-4107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629000443 AL Practitioner - Psychiatry 1658792544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Education

State licenses

LicenseStateTypeSpecialty
DO.2172ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2024 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jun 22, 2023 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jun 22, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1713 6th Ave S
Birmingham, AL 35294
Phone (205) 934-4107

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

28921 Highway 5
Woodstock, AL 35188
Phone (205) 938-9348

Interoperability endpoints

  • Direct secure messaging: brountree@direct.uabmedicine.org
  • Direct secure messaging: boone.rountree.1@11347.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1083101257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28921 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351883613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28921 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351883613",
            "telephone_number": "205-938-9348",
            "fax_number": "855-840-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352943613",
            "country_code": "US",
            "telephone_number": "205-934-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "BOONE",
        "middle_name": "GOODWIN",
        "name_prefix": "Dr.",
        "credential": "DO, M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO.2172",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "DO.2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, AL

Sources for this page

Verify at the official NPI Registry.