Active NPI
Vincent Blake Boling, CRNA
- Certified Registered Nurse Anesthetist
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11017547
- Practice address
- 801 Chattanooga Ave
Apt. A124
Dalton, GA 30720-8884 - Phone
- (706) 463-6325
- NPI assigned
- Jan 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN219675 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11017547 | FL | Primary |
Addresses
Primary practice location
801 Chattanooga Ave
Apt. A124
Dalton, GA 30720-8884
Mailing address
801 Chattanooga Ave
Apt. A124
Dalton, GA 30720-8884
Phone (706) 463-6325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, KY, NC, AZ, FL, SC, AL
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- Musc Health Florence Medical Center
- University of Alabama Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11017547 | FL | MD | Certified Registered Nurse Anesthetist |
| RN219675 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| Anesthesia Partners of Arizona LLC | Current | Accepting new patients | |
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Claire Medical Center Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nash Hospitals Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Ias Arizona PLLC | Current | Accepting new patients | |
| Metro Anesthesia Consultants P C | Past | Accepting new patients |
Locations
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
7330 N 16th St
Ste A200
Phoenix, AZ 85020
Phone (602) 200-9021
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1689359747
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Bessemer, AL
- NPI 1952483729
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1508303009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CHATTANOOGA AVE",
"address_2": "APT. A124",
"city": "DALTON",
"state": "GA",
"postal_code": "307208884",
"telephone_number": "706-463-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CHATTANOOGA AVE",
"address_2": "APT. A124",
"city": "DALTON",
"state": "GA",
"postal_code": "307208884",
"telephone_number": "706-463-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLING",
"first_name": "VINCENT",
"middle_name": "BLAKE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-23",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN219675",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11017547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.