Nicholas K Bolling, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PENDING Issued in AL

Practice address

6144 Airport Blvd
Mobile, AL 36608-3143

Phone

(251) 476-5050

Fax

(251) 450-2770

NPI assigned

Dec 15, 2017

Last updated

Feb 6, 2018By 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 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mississippi Medical College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Orthopaedic Group PCGroup PAC ID 2264331826, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Hospital Hospital, Chatom, AL, CCN 011300
• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
• Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Merit-based Incentive Payment System (MIPS)

Final score

88.53 of 100Reported as group

Quality

86.51

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nbolling@tog1813.srs-direct.com

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.

• The Orthopaedic Group, PC

  • Specialist
  • Mobile, AL
  • NPI 1164489951
  Medicare reassignment Care Compare group NPD
• The Orthopaedic Group, P.C.

  • Orthopaedic Surgery Physician
  • Foley, AL
  • NPI 1003158965
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Springhill Hospitals, Inc

  dba Springhill Memorial Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation
• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation
• Washington County Healthcare Authority, Inc

  dba Washington County Hospital

  • Critical Access Hospital
  • Chatom, AL
  • NPI 1487699203
  Care Compare affiliation

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1346756160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083143",
            "telephone_number": "251-476-5050",
            "fax_number": "251-450-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083143",
            "telephone_number": "251-476-5050",
            "fax_number": "251-450-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "NICHOLAS",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363AM0700X",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Alejandro Bolanos Guzman, MD
• Azriel Michal Boles
• Ahdy Anis Bolis, MD
• Christopher H Bolling Jr., M.D.
• Jacob Westin Bolling, DO
• Allison McDaniel Bolton, MD
• Jan Bolton
• Leanne Bolton, MS, RD
• Wilburn Donald Bolton III, M.D.
• Hannah Boltz, L.M.T

• Surgical Physician Assistant in Mobile, AL
• Providers in Mobile, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.