Active NPI
George Austin Boothe, CRNP
- Family Nurse Practitioner
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-109113
- Practice address
- 4770 Woodmere Blvd Ste B
Montgomery, AL 36106-3084 - Phone
- (334) 272-1050
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-109113 | AL | Primary |
Addresses
Primary practice location
4770 Woodmere Blvd Ste B
Montgomery, AL 36106-3084
Mailing address
4770 Woodmere Blvd Ste B
Montgomery, AL 36106-3084
Phone (334) 272-1050
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130718000380 | AL | Practitioner - Nurse Practitioner | 9133360043 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000
Hospital & facility affiliations
- Baptist Medical Center South
- Prattville Baptist Hospital
- Baptist Medical Center East
- The Health Care Authority of the City of Greenville- LV Stabler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-109113 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Southern Orthopaedic Surgeons, LLC | Current | Accepting new patients | |
| Southern Orthopaedic Surgeons, LLC | Current | Accepting new patients | |
| David P Franco, PC | Past | Accepting new patients |
Locations
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
454 Taylor Rd
Montgomery, AL 36117
7449 Eastchase Pkwy
Ste 200
Montgomery, AL 36117
Phone (334) 747-4030
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
668 McQueen Smith Rd N
Prattville, AL 36066
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
9 Cambridge Ct
Wetumpka, AL 36093
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
AL
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1669266599
-
- Pulmonary Disease Physician
- Montgomery, AL
- NPI 1669489753
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
Hospital
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Hospital
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital
-
- General Acute Care Hospital
- Greenville, AL
- NPI 1780655332
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1134568967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 WOODMERE BLVD STE B",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063084",
"telephone_number": "334-272-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 WOODMERE BLVD STE B",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063084",
"telephone_number": "334-272-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTHE",
"first_name": "GEORGE",
"middle_name": "AUSTIN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-109113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.