Organization Active NPI

Martha B Boone M.D. LLC

  • Urology Physician
  • Alpharetta, GA
National Provider Identifier
1497061287
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
42408 Issued in GA
Legal business name
MARTHA B BOONE M.D. LLC
Practice address
3400 Old Milton Parkway
Suite A560
Alpharetta, GA 30005
Phone
(404) 705-8366
Fax
(404) 705-8314
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Dr. Martha B Boone, M.D.
Title
Owner
Phone
(404) 705-8366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 042408 GA
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 42408 GA Primary

Addresses

Primary practice location

3400 Old Milton Parkway
Suite A560
Alpharetta, GA 30005

Mailing address

3400 Old Milton Parkway
Suite A560
Alpharetta, GA 30005
Phone (404) 705-8366

Other identifiers 1

IdentifierTypeStateIssuer
042408OtherLICENSE

National Provider Directory

National Provider Directory

Locations

3400 Old Milton Pkwy
Ste 560
Alpharetta, GA 30005
Phone (404) 705-8366

960 Johnson Ferry Rd
Ste 245
Sandy Springs, GA 30342
Phone (404) 499-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1497061287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PARKWAY",
            "address_2": "SUITE A560",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "404-705-8366",
            "fax_number": "404-705-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PARKWAY",
            "address_2": "SUITE A560",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "404-705-8366",
            "fax_number": "404-705-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA B BOONE M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-705-8366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "042408",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "42408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "042408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.