Active NPI
James G Boron, M.D.
- Trauma Surgery Physician
- Atlanta, GA
National Provider Identifier
1215248604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- ME148845
- Practice address
- 303 Parkway Dr NE
Atlanta, GA 30312-1212 - Phone
- (404) 265-4411
- NPI assigned
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 036.137090 | IL | |
| Trauma Surgery Physician | 2086S0127X | ME148845 | FL | Primary |
Addresses
Primary practice location
303 Parkway Dr NE
Atlanta, GA 30312-1212
Mailing address
805 Sandy Plains Rd
Medical Staff Services
Marietta, GA 30066-6340
Other practice location 1
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 265-4411
Other practice location 2
55 Whitcher St NE Ste 130
Marietta, GA 30060-1156
Phone (770) 426-1629
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jboron284835@directwellstar.org | ||
| Direct Messaging Address | DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.137090 | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients |
Interoperability endpoints
- james.boron.p53@direct.tenet.nextgenshare.com
- jamesboron@sfc.allscriptsdirect.net
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1215248604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS RD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PARKWAY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-265-4411"
}
],
"practiceLocations": [
{
"address_1": "303 Parkway Dr NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303121212",
"country_code": "US",
"telephone_number": "404-265-4411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Whitcher St NE Ste 130",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601156",
"country_code": "US",
"telephone_number": "770-426-1629",
"fax_number": "770-427-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORON",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2022-01-07",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036.137090",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME148845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jboron284835@directwellstar.org",
"affiliation": "N",
"address_1": "55 Whitcher St NE Ste 130",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601156",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "55 Whitcher St NE Ste 130",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601156",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.