Whitson Hines Boyd, PA-C
Individual provider Active NPI Physician Assistant · Monticello, FL
NPI 1336153808 · NPPES record last updated Jan 17, 2012
Key facts
- NPI
- 1336153808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9102923 (FL)
- Practice address
- 1549 S Jefferson St
Monticello, FL 32344-1651 - Phone
- (850) 997-0707
- Fax
- (850) 997-6833
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Memorial Healthcare Inc
Practice addresses (Care Compare)
1549 S Jefferson St
TMH Physician Partners Monticello
Monticello, FL 32344-1651
Phone (850) 997-0707
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
- Doctors Memorial Hospital Inc
- Archbold Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070618000018 | FL | Practitioner - Physician Assistant | 0042319014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current |
Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Physician Assistant | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current |
Accepting new patients | |
| Archbold Medical Group, Inc. | Past | Accepting new patients |
Locations
1549 S Jefferson St
Monticello, FL 32344
Phone (850) 997-0707
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243
Interoperability endpoints
- whitsonboyd@tmhpp.allscriptsdirect.net
- wboyd21430@tallahasseememorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102923 | FL | Yes |
Addresses
Primary practice location
1549 S Jefferson St
Monticello, FL 32344-1651
Mailing address
1549 S Jefferson St
Monticello, FL 32344-1651
Phone (850) 997-0707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292729200 | Medicaid | FL |
Other providers in Monticello, FL
- Brian Thomas Ballard
- Katherine Bass
- Be Reformed
- Sarah Bishop
- Caitlin Carroll Boland
- Otis James Brown
- Brynwood FL Opco LLC
- Brynwood Operations LLC
- Deanna Burney
- Chantal Calais
All providers in Monticello, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2012. 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.