Robert Olliff Boatwright, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101246278 Issued in VA

Practice address

100 Brewster Blvd.
Camp Lejeune, NC 28547-2538

Phone

(910) 450-4820

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Orthopedic Surgery

Education

Mercer University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dekalb Specialty CareGroup PAC ID 5991244378, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rboatwri@yourcarecommunity.org
• Direct secure messaging: robert.boatwright.1@30893.direct.athenahealth.com

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.

• Dekalb Specialty Care

  • Multi-Specialty Clinic/Center
  • Fort Payne, AL
  • NPI 1972366854
  Medicare reassignment Care Compare group NPD
• Fort Payne Clinic Corp.

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1396764395

  Orthopaedic Surgery

  Medicare reassignment NPD
• Fort Payne Clinic Corp

  dba Dekalb Orthopedics & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Fort Payne, AL
  • NPI 1326521345
  NPD
• Fort Payne RHC Corp

  dba DeKalb Clinic

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1184679938
  NPD (past)

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

• HH Health System - Dekalb, LLC

  dba DeKalb Regional Medical Center

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation
• HH Health System - Jackson LLC

  dba Highlands Medical Center

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1578730784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD.",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD.",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT",
        "first_name": "ROBERT",
        "middle_name": "OLLIFF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101246278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve John Blivin, MD
• Karen Kathleen Bloch, ARNP
• Kyle Blood, PA-C
• Daniel Edward Bloom, PHYSICIAN ASSISTANT
• Priscilla Boateng
• Joshua Bohac, PA-C
• Emily Bollinger, MD
• Jared Bollinger
• Jillian Wagner Bonaroti, MD
• Julia E. Bond, WHCNP

• Orthopaedic Surgery Physician in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
• 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.