Active NPI
Nathan Edward Boys, DO
- Sports Medicine (Family Medicine) Physician
- Columbia, SC
National Provider Identifier
1205586716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 93829
- Practice address
- 3209 Colonial Dr
Columbia, SC 29203-6930 - Phone
- (803) 434-2519
- NPI assigned
- Mar 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 105096 | GA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 93829 | SC | Primary |
Addresses
Primary practice location
3209 Colonial Dr
Columbia, SC 29203-6930
Mailing address
665 Duluth Hwy Ste B
Lawrenceville, GA 30046-3328
Phone (470) 451-0650
Other practice location 1
665 Duluth Hwy Ste B
Lawrenceville, GA 30046-3328
Phone (470) 451-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220630003009 | GA | Order and Referring Only - Family Practice | 6901286376 | |
| I20250812000294 | SC | Order and Referring Only - Family Practice | 6901286376 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Sandy Springs, GA 30342-1611
Northside Hospital Managed Care Dept
905 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105096 | GA | MD | Family Medicine Physician |
| 93829 | SC | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1205586716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 DULUTH HWY STE B",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463328",
"telephone_number": "470-451-0650",
"fax_number": "470-451-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-2519"
}
],
"practiceLocations": [
{
"address_1": "665 Duluth Hwy Ste B",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300463328",
"country_code": "US",
"telephone_number": "470-451-0650",
"fax_number": "470-451-0651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYS",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-27",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "105096",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "SC",
"license": "93829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.