Individual provider Active NPI

Michael Alan Boyd, MD

  • Surgery Physician
  • Lawrenceville, IL
National Provider Identifier
1407955248
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036167117 Issued in IL
Practice address
2200 State St
Lawrenceville, IL 62439-1899
Phone
(618) 943-1000
Fax
(618) 943-7242
NPI assigned
Sep 21, 2006
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD024363 TN
Surgery Physician 208600000X TP994 KY
Surgery Physician 208600000X 14223 AL
Surgery Physician 208600000X 036167117 IL Primary

Addresses

Primary practice location

2200 State St
Lawrenceville, IL 62439-1899

Mailing address

2200 State St
Lawrenceville, IL 62439-1899
Phone (618) 943-1000

Other identifiers 1

IdentifierTypeStateIssuer
218242MedicaidAL

Other names 1

  • Dr. Michael Alan Boyd Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boydmichael@dchpm.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, IN, IL4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080508000749 TN Practitioner - General Surgery 8921187410 Reassigns benefits to 2 organizations
I20180911002492 AL Practitioner - General Surgery 8921187410 Reassigns benefits to 1 organization
I20201116002350 IN Practitioner - General Surgery 8921187410 Reassigns benefits to 2 organizations
I20240223003886 IL Practitioner - General Surgery 8921187410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Alabama College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians

Practice addresses (Care Compare)

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14223ALMDSurgery Physician
036167117ILMDSurgery Physician
MD024363TNMDSurgery Physician
TP994KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Current Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Henry County Medical Center CurrentSince Oct 17, 2020 Accepting new patients
Daviess County Hospital Current Accepting new patients
Amg-Crockett, LLC Surgery CurrentSince Oct 5, 2013 Accepting new patients
Ecm Health Group LLC CurrentSince Aug 27, 2018 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jan 2, 2024 Accepting new patients
Beacon Medical Group Inc CurrentSince Mar 11, 2025 Accepting new patients
Henry County Medical Center CurrentSince Oct 17, 2020 Accepting new patients
Daviess County Hospital CurrentSince Nov 9, 2020 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jan 2, 2024 Accepting new patients
Beacon Medical Group, Inc. Surgery CurrentSince Mar 11, 2025 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Amg-Crockett, LLC CurrentSince Oct 5, 2013 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Western Baptist Medical Ventures, Inc. Past Accepting new patients
Tennessee Valley Surgery Group Surgery PastSince Aug 14, 2017 Accepting new patients
Emergency Coverage, LLC Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

1751 Veterans Dr
Ste 125
Florence, AL 35630
Phone (256) 766-0150

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

500 Arcade Ave
Ste 320
Elkhart, IN 46514
Phone (574) 293-3317

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1401 Memorial Ave
Ste C
Washington, IN 47501
Phone (812) 254-4399

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

1329 S Locust Ave
Lawrenceburg, TN 38464
Phone (615) 762-2332

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

106 S Military St
#B
Loretto, TN 38469
Phone (931) 853-4622

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: boyd_michael_-_md@yourcarecommunity.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

Organizations & group practices 19

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.

View all 19

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1407955248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391899",
            "telephone_number": "618-943-1000",
            "fax_number": "618-943-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391899",
            "telephone_number": "618-943-1000",
            "fax_number": "618-943-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD024363",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "TP994",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "14223",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036167117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218242",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boydmichael@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 NE 14th St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BOYD",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lawrenceville, IL

Sources for this page

Verify at the official NPI Registry.