Mary S Boyd, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23274 Issued in SC

Practice address

3227 Sunset Blvd Ste D103
West Columbia, SC 29169-3201

Phone

(803) 791-1485

Fax

(803) 939-9378

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryboyd@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Three Rivers Behavioral Health LLC

  • Psychiatric Hospital
  • West Columbia, SC
  • NPI 1841586187

  SC

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD
• Greenville Health System

  • General Acute Care Hospital
  • Simpsonville, SC
  • NPI 1679992838
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1497744890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD STE D103",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD STE D103",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4255",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendal S Bowers, PT
• Ryan Wayne Bowers, D.C.
• Teresa Biediger Bowers, RN NP
• Kyle David Boyce, M.D.
• James Todd Boyd, DC
• Scott B Boyd, M.D.
• Matison L. Boyer, MD
• Lakisha M. Boykin-Wright, APRN
• Jeffrey C Boyne, M.D.
• William Walter Brabham, MD

• All providers in West Columbia, SC
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.