Active NPI
Randall James Boyd, D.C.
- Chiropractor
- Holly Springs, GA
National Provider Identifier
1376677641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO007076
- Practice address
- 3005 Holly Springs Pkwy
Suite 103
Holly Springs, GA 30115-7400 - Phone
- (770) 704-6332
- NPI assigned
- Mar 16, 2007
- Last updated
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO007076 | GA | Primary |
Addresses
Primary practice location
3005 Holly Springs Pkwy
Suite 103
Holly Springs, GA 30115-7400
Mailing address
730 Dena Dr
Canton, GA 30114-7155
Phone (770) 704-6332
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO007076 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1376677641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 DENA DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301147155",
"telephone_number": "770-704-6332",
"fax_number": "770-704-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 HOLLY SPRINGS PKWY",
"address_2": "SUITE 103",
"city": "HOLLY SPRINGS",
"state": "GA",
"postal_code": "301157400",
"telephone_number": "770-704-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "RANDALL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO007076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, GA
- Matthew Kyle Austin, MD
- Holly Megan Barker
- Ashley Michelle Bell, PA-C
- Mary Blalock
- Body Expressions the Aesthetic Edge (Body Expressions Medical and Wellness)
- Karen Buhariwalla, D.O.
- Daniel Cadavid Duque, MS, LAT, ATC
- Courtney Brynne Campbell, PA-C
- Daquesha Capre Chever, D.O
- Sydney Anabel Colon, APRN-FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.