Active NPI
Amber Boyd, N.P.
- Pediatric Nurse Practitioner
- Carrollton, GA
National Provider Identifier
1407005085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN149651
- Practice address
- 107 Wedgewood Dr
Carrollton, GA 30117-4335 - Phone
- (678) 390-7070
- Fax
- (678) 390-7071
- NPI assigned
- Sep 18, 2008
- Last updated
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN149651 | GA | Primary |
Addresses
Primary practice location
107 Wedgewood Dr
Carrollton, GA 30117-4335
Mailing address
222 Gordon St
Bremen, GA 30110-1519
Phone (770) 537-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861915647 | Other | GA | GROUP NPI |
| RN149651 | Other | GA | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 316 Family Medicine | Current | Accepting new patients | |
| TMC West Georgia Behavioral Health Inc | Past | Accepting new patients |
Locations
222 Gordon St
Bremen, GA 30110
Phone (770) 537-1234
107 Wedgewood Dr
Carrollton, GA 30117
Phone (678) 390-7070
Interoperability endpoints
- amber.boyd.1@22071.direct.athenahealth.com
- https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bremen, GA
- NPI 1861915647
-
dba West Georgia Behavioral Health
- Psychiatry Physician
- Villa Rica, GA
- NPI 1588679203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1407005085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 GORDON ST",
"city": "BREMEN",
"state": "GA",
"postal_code": "301101519",
"telephone_number": "770-537-1234",
"fax_number": "770-537-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WEDGEWOOD DR",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174335",
"telephone_number": "678-390-7070",
"fax_number": "678-390-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN149651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1861915647",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN149651",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.