Edward H Boland, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

040826 Issued in GA

Practice address

3830 Washington Rd
Suite 17
Martinez, GA 30907-5064

Phone

(706) 922-0440

Fax

(706) 922-0441

NPI assigned

Aug 31, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Augusta Physicians Group, LLC

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1518169168
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1376655795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WASHINGTON RD",
            "address_2": "SUITE 17",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075064",
            "telephone_number": "706-922-0440",
            "fax_number": "706-922-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WASHINGTON RD",
            "address_2": "SUITE 17",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075064",
            "telephone_number": "706-922-0440",
            "fax_number": "706-922-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Blaney, MD
• Blessed Hands Wellness Spa LLC
• Melissa Blue
• Cameo Blundstone
• Westin Bobadilla
• Linda Elizabeth Bolt, OTR/L
• Zaniya Bond
• Kimberly Dawn Booker
• Elizabeth Boswell
• Jason Michael Bouvier, CPHT

• Family Medicine Physician in Martinez, GA
• Providers in Martinez, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.