John G Boatwright, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13044 Issued in SC

Practice address

2060 Charlie Hall Blvd
Suite 201
Charleston, SC 29414-5830

Phone

(843) 722-2010

Fax

(843) 723-3914

NPI assigned

Jul 25, 2006

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jboatwright1251878@direct.bsmhealth.org

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.

• Carolina Eyecare Physicians LLC

  • Ophthalmology Physician
  • N Charleston, SC
  • NPI 1659421238
  Medicare reassignment Care Compare group NPD
• Physicians Eye Surgery Center LLC

  dba Physicians' Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
  • NPI 1346331329
  Authorized official Same address or phone
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • North Charleston, SC
  • NPI 1578589289

  Ophthalmology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1285657908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-725-0064",
            "fax_number": "843-569-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD",
            "address_2": "SUITE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-722-2010",
            "fax_number": "843-723-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "13044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180033203",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130441",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboatwright@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2060 CHARLIE HALL BLVD",
            "address_2": "SUITE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisa Nicole Blumenthaler, MD
• Suzanne Robbins Blumer, CRNA
• Laura Christine Boaman, MS CMHC, LPCA
• Andrea Denise Boan, PA-C, PHD
• Harry Wade Boatwright, M.D.
• Sarah Wade Boatwright, MD
• Alexi Madison Bobba, PA
• Jacob Bobba, PA
• McKenzie Rae Bocklet
• Michael Thomas Bocklet, DMD, MSD

• Ophthalmology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.

Verify at the official NPI Registry.