Active NPI
Pamela Boland, M.D.
- Diagnostic Radiology Physician
- Savannah, GA
National Provider Identifier
1295738086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 032397
- Practice address
- 1326 Eisenhower Dr
Savannah, GA 31406-3928 - Phone
- (912) 691-4200
- Fax
- (912) 691-4209
- NPI assigned
- May 24, 2005
- Last updated
- May 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 032397 | GA | Primary |
Addresses
Primary practice location
1326 Eisenhower Dr
Savannah, GA 31406-3928
Mailing address
PO Box 15849
Savannah, GA 31416-2549
Phone (912) 691-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000457245C | Medicaid | GA | |
| G32397 | Medicaid | SC |
Other names 1
- Dr. Pamela Hendricks
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Savannah, PC | Past | Accepting new patients | |
| Boland Women's Imaging PC | Past | Accepting new patients |
Interoperability endpoints
- pamelaboland@scmgllc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Specialist
- Savannah, GA
- NPI 1679506570
-
- Radiology Clinic/Center
- Savannah, GA
- NPI 1033154489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1295738086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15849",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314162549",
"telephone_number": "912-691-4200",
"fax_number": "912-691-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4200",
"fax_number": "912-691-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLAND",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "032397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000457245C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G32397",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "HENDRICKS",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.