Individual provider Active NPI

Jimmy L Boyd Jr., PA

  • Physician Assistant
  • Fairhope, AL
National Provider Identifier
1396745584
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA211 Issued in AL
Practice address
8096 Twin Beech Rd Ste 250
Fairhope, AL 36532
Phone
(251) 279-6520
Fax
(251) 279-6523
NPI assigned
Jul 28, 2005
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA211 AL Primary

Addresses

Primary practice location

8096 Twin Beech Rd Ste 250
Fairhope, AL 36532

Mailing address

8096 Twin Beech Rd Ste 250
Fairhope, AL 36532-7194
Phone (251) 279-6520

Other practice location 1

1851 N McKenzie St Ste 101
Foley, AL 36535
Phone (251) 677-6821

Other practice location 2

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3710

Other practice location 3

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone (251) 435-6850

Other identifiers 2

IdentifierTypeStateIssuer
511-114059OtherALBCBS OF AL
P00967735OtherALRR MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100708000085 AL Practitioner - Physician Assistant 5991836918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

101 E 15TH Ave
Gulf Shores, AL 36542-3501
Phone (251) 962-1250

161 W Peachtree St
Foley, AL 36535-2239
Phone (251) 970-1090

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3400

1851 N McKenzie St
Foley, AL 36535-4702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA211ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, P.C. CurrentSince Apr 4, 2011 Accepting new patients
The Orthopaedic Group, PC CurrentSince Apr 4, 2011 Accepting new patients
Foley Clinic Corp CurrentSince Mar 4, 2024 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients
Foley Clinic Corp Past Accepting new patients

Locations

8096 Twin Beech Rd
Ste 250
Fairhope, AL 36532
Phone (251) 279-6520

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

1851 N McKenzie St
Ste 101
Foley, AL 36535
Phone (251) 424-1232

101 E 15th Ave
Gulf Shores, AL 36542
Phone (251) 962-1250

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

Interoperability endpoints

  • Direct secure messaging: jboyd16786@directinfirmaryhealth.org
  • Direct secure messaging: jimmy.boyd.2@1599.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1396745584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD STE 250",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327194",
            "telephone_number": "251-279-6520",
            "fax_number": "251-279-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD STE 250",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-279-6520",
            "fax_number": "251-279-6523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 N McKenzie St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "36535",
            "country_code": "US",
            "telephone_number": "251-677-6821",
            "fax_number": "251-677-6813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "36535",
            "country_code": "US",
            "telephone_number": "251-949-3710",
            "fax_number": "251-949-3715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Mobile Infirmary Cir Ste 410",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073512",
            "country_code": "US",
            "telephone_number": "251-435-6850",
            "fax_number": "251-435-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JIMMY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "511-114059",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00967735",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.