Dianne Martin Boik, PA
Individual provider Active NPI Physician Assistant · Rock Hill, SC
NPI 1407969934 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1407969934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 102943 (NC)
- Practice address
- 1656 Riverchase Blvd
Suite 2500
Rock Hill, SC 29732-2084 - Phone
- (803) 327-3456
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of South Carolina School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
1656 Riverchase Blvd
Suite 2500
Rock Hill, SC 29732-0269
Phone (803) 327-3456
704 Gold Hill Rd
Suite 203
Fort Mill, SC 29715-8907
Phone (803) 835-0405
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040322001467 | SC | Practitioner - Physician Assistant | 4082505888 | Reassigns benefits to 1 organization |
| I20050913000132 | NC | Practitioner - Physician Assistant | 4082505888 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| The Sanger Clinic PA | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405
1656 Riverchase Blvd
Ste 2500
Rock Hill, SC 29732
Phone (803) 327-3456
197 Piedmont Blvd
Ste 111
Rock Hill, SC 29732
Phone (803) 327-3456
Interoperability endpoints
- dboik128456@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102943 | NC | Yes |
Addresses
Primary practice location
1656 Riverchase Blvd
Suite 2500
Rock Hill, SC 29732-2084
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
Phone (704) 373-0212
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dboik128456@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in Rock Hill, SC
- Katelyn Board
- Robyn Adele Bogan
- Lee Ann Evelynn Bogert
- Sarah Denise Boggs
- Meagan Leigh Boheler
- Tamara Michelle Boineau
- Geneva Bonaparte
- Jane Ellison Bondurant
- Lotte Friend Bonneau
- Jyazia Booker
All providers in Rock Hill, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.