Katelyn Amanda Boykin, DO
Individual provider Active NPI Infectious Disease Physician · Braselton, GA
NPI 1215566864 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1215566864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 105335 (GA)
- Practice address
- 1515 River PL Ste 340
Braselton, GA 30517-5613 - Phone
- (770) 419-4840
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Lincoln Memorial University Medical Department, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
1211 Sherwood Park Dr NE
Gainesville, GA 30501-3444
Phone (770) 219-3202
1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-6000
1404 River PL
Braselton, GA 30517-5600
316 N Broad St
Winder, GA 30680-2150
Phone (770) 307-5400
495 Hwy 400
Dahlonega, GA 30533-6823
Phone (706) 867-4110
597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501-3715
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
- Northeast Georgia Medical Center Lumpkin
- NGMC Barrow, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250919001671 | GA | Practitioner - Infectious Disease | 1850755091 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current |
Accepting new patients |
Locations
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 105335 | GA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1515 River PL Ste 340
Braselton, GA 30517-5613
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-4840
Other practice location 1
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6132
Other providers in Braselton, GA
- Adrianna Marie Bell
- Michael Billingsley
- Mutale Pauline Bingley
- Whitney N Boss
- Alexander R Bottini
- Cynthia S Brand
- J Christopher Brandys
- Braselton ASC, LLC
- Braselton Clinical Services
- Braselton Endodontics LLC
All providers in Braselton, GA · Infectious Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.