Audrey Ellerbe Boykin

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

910B Broad St
Camden, SC 29020-4315

Phone

(803) 729-5071

Fax

(803) 424-8300

NPI assigned

Jan 31, 2022

Last updated

Feb 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1538812433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ETTERS LN, CASSATT, SC, 29032, USA",
            "city": "CASSATT",
            "state": "SC",
            "postal_code": "290320101",
            "telephone_number": "803-729-5071",
            "fax_number": "803-424-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910B BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204315",
            "telephone_number": "803-729-5071",
            "fax_number": "803-424-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "AUDREY",
        "middle_name": "ELLERBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-02-03",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Blackmon, PA-C
• Hannah Munn Blair
• Alicia Blanding, RN
• Jacqueline Michelle Bobo, M.A., CCC-SLP
• Ann Johnson Boykin, PT, DPT
• Jenifer Boykin
• Sarah Creed Bradley, NP
• Elizabeth Noelle Bradshaw
• Joyce J Branham
• Melinda Branham

• Home Health Agency in Camden, SC
• Providers in Camden, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.