Active NPI
Martha B Boone M.D. LLC
- Urology Physician
- Alpharetta, GA
National Provider Identifier
1497061287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 42408
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 042408 | GA | |
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042408 | Other | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Atlanta, GA
- NPI 1881898344
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.