Individual provider Active NPI

Douglas Dewitt Boyette, M.D.

  • Obstetrics & Gynecology Physician
  • Rocky Mount, NC
National Provider Identifier
1164562583
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28139 Issued in NC
Practice address
157 Candlewood Rd
Rocky Mount, NC 27804-2105
Phone
(252) 937-7889
Fax
(252) 451-3439
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28139 NC Primary

Addresses

Primary practice location

157 Candlewood Rd
Rocky Mount, NC 27804-2105

Mailing address

PO Box 7933
Rocky Mount, NC 27804-0933
Phone (252) 937-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000439 NC Practitioner - Obstetrics/Gynecology 3870683121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28139NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NHCS Physicians, Inc. CurrentSince Sep 1, 2017 Accepting new patients
NHCS Physicians Inc CurrentSince Sep 1, 2017 Accepting new patients

Locations

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1164562583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7933",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040933",
            "telephone_number": "252-937-7889",
            "fax_number": "252-451-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CANDLEWOOD RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042105",
            "telephone_number": "252-937-7889",
            "fax_number": "252-451-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYETTE",
        "first_name": "DOUGLAS",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "28139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.