Active NPI
Michael L Boykins, D.P.M.
- Foot Surgery Podiatrist
- Ridgeland, MS
National Provider Identifier
1205049657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 80090
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Footcare Solutions LLC | Foot Surgery | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.