Max R Boone, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15144 Issued in AL

Practice address

22289 Medical Village Dr
Athens, AL 35613-2896

Phone

(256) 232-1414

Fax

(256) 230-2610

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastside Family Medicine

  • Family Medicine Physician
  • Athens, AL
  • NPI 1962946970

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1346352317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22289 MEDICAL VILLAGE DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132896",
            "telephone_number": "256-232-1414",
            "fax_number": "256-230-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22289 MEDICAL VILLAGE DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132896",
            "telephone_number": "256-232-1414",
            "fax_number": "256-230-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MAX",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "15144",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Howell Bishop III
• Binod Bista, MD
• Maizee Black Kelley, CRNA, APRN, DNP
• Beverly Hyatt Blakely, RPT
• Helen J Block, PT, DPT
• Lynn Brown Boyer, MD
• Boyett Orthospine Inc
• Emily McQueen Boyett, NP
• John Blake Boyett, D.O.
• Joseph Patrick Boyett, D.O.

• Family Medicine Physician in Athens, AL
• Providers in Athens, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.