Individual provider Active NPI

Vincent Blake Boling, CRNA

  • Certified Registered Nurse Anesthetist
  • Dalton, GA
National Provider Identifier
1508303009
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11017547 Issued in FL
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

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20170301002368 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637
I20180129002372 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637 Reassigns benefits to 3 organizations
I20190819003048 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637 Reassigns benefits to 1 organization
I20200527001822 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637 Reassigns benefits to 2 organizations
I20240531003919 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637 Reassigns benefits to 2 organizations
I20250918001734 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637 Reassigns benefits to 1 organization
I20260511002228 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193009637 Reassigns benefits to 2 organizations

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
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

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 Hospital, Florence, SC, CCN 420091
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11017547FLMDCertified Registered Nurse Anesthetist
RN219675GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince Dec 19, 2017 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince May 1, 2020 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
St. Claire Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 19, 2017 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 11, 2025 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
St Claire Medical Center, Inc., Nurse Anesthetist, Certified Registered Current Accepting new patients
Nash Hospitals Inc CurrentSince Jul 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jul 11, 2025 Accepting new patients
Ias Arizona PLLC CurrentSince Oct 30, 2023 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.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.