Active NPI
Darrell J Boykin, MD
- Critical Care Medicine (Anesthesiology) Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 12954
- Practice address
- 240 Stoneridge Dr
Columbia, SC 29210-8013 - Phone
- (803) 708-8126
- Fax
- (803) 708-1370
- NPI assigned
- Oct 15, 2006
- Last updated
- Feb 3, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 12954 | SC | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 12954 | SC | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 12954 | SC |
Addresses
Primary practice location
240 Stoneridge Dr
Columbia, SC 29210-8013
Mailing address
300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 522-2286
Other practice location 1
1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 296-5137
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4131524 | Other | SC | AETNA |
| 050028867 | Other | SC | RR MEDICARE |
| 129549 | Other | SC | SELECT HEALTH |
| 129549 | Medicaid | SC | |
| 77780 | Other | SC | MEDCOST |
| 2000949 | Other | SC | CCP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Carolina School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 296-5137
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Anesthesiology | Current | Accepting new patients |
| Pain Management, LLC | Past | Accepting new patients | |
| Gaffney Hma LLC | Past | Accepting new patients |
Locations
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba Department of Anesthesia
- Anesthesiology Physician
- Columbia, SC
- NPI 1982292843
-
dba Mary Black Health System Gaffney
- General Acute Care Hospital
- Gaffney, SC
- NPI 1508800186
-
- Interventional Pain Medicine Physician
- Mount Pleasant, SC
- NPI 1104914076
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Baptist Hospital
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
dba Prisma Health Assertive Community Treatment Team
- General Acute Care Hospital
- Columbia, SC
- NPI 1306623137
-
dba Prisma Health Baptist Parkridge Hospital
- General Acute Care Hospital
- Columbia, SC
- NPI 1811237985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1265522544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 STONERIDGE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108013",
"telephone_number": "803-708-8126",
"fax_number": "803-708-1370"
}
],
"practiceLocations": [
{
"address_1": "1330 Taylor St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292012915",
"country_code": "US",
"telephone_number": "803-296-5137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYKIN",
"first_name": "DARRELL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-15",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "12954",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "SC",
"license": "12954",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "12954",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4131524",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050028867",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "129549",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129549",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "77780",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCP",
"identifier": "2000949",
"state": "SC"
}
],
"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 Feb 3, 2021; 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.