Individual provider Active NPI

George Austin Boothe, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1134568967
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-109113 Issued in AL
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

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Southern Orthopaedic Surgeons LLCGroup PAC ID 9335166685, 31 clinicians

Practice addresses (Care Compare)

454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • The Health Care Authority of the City of Greenville- LV Stabler Hospital Hospital, Greenville, AL, CCN 010150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-109113ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Nov 15, 2021 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 CurrentSince Nov 15, 2021 Accepting new patients
Southern Orthopaedic Surgeons, LLC CurrentSince Oct 1, 2019 Accepting new patients
Southern Orthopaedic Surgeons, LLC CurrentSince Oct 1, 2019 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.