Individual provider Active NPI

Michael L Boykins, D.P.M.

  • Foot Surgery Podiatrist
  • Ridgeland, MS
National Provider Identifier
1205049657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80090 Issued in MS
Practice address
6800 Old Canton Rd Ste 111
Ridgeland, MS 39157-1254
Phone
(601) 977-9002
Fax
(601) 977-9005
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 80090 MS Primary

Addresses

Primary practice location

6800 Old Canton Rd Ste 111
Ridgeland, MS 39157-1254

Mailing address

6800 Old Canton Rd Ste 111
Ridgeland, MS 39157-1254
Phone (601) 977-9002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617003955 MS Practitioner - Podiatry 7416490594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Footcare Solutions LLC Foot Surgery CurrentSince Mar 23, 2024 Accepting new patients

Locations

406 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 977-9002

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205049657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 OLD CANTON RD STE 111",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571254",
            "telephone_number": "601-977-9002",
            "fax_number": "601-977-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 OLD CANTON RD STE 111",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571254",
            "telephone_number": "601-977-9002",
            "fax_number": "601-977-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKINS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.