Organization Active NPI

Glenn H Boyd MD PC

  • Internal Medicine Physician
  • Dalton, GA
National Provider Identifier
1578833422
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17510 Issued in GA
Legal business name
GLENN H BOYD MD PC
Practice address
1203 Memorial Drive
Dalton, GA 30720-2530
Phone
(706) 278-0022
Fax
(706) 278-6360
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Glenn H Boyd, M.D.
Title
Physician
Phone
(706) 278-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 17510 GA Primary

Addresses

Primary practice location

1203 Memorial Drive
Dalton, GA 30720-2530

Mailing address

1203 Memorial Dr
Dalton, GA 30720-2571
Phone (706) 278-0022

National Provider Directory

National Provider Directory

Locations

1203 Memorial Dr
Dalton, GA 30720
Phone (706) 278-0022

1115 Professional Blvd
Dalton, GA 30720
Phone (706) 226-1285

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1578833422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202571",
            "telephone_number": "706-278-0022",
            "fax_number": "706-278-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MEMORIAL DRIVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202530",
            "telephone_number": "706-278-0022",
            "fax_number": "706-278-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN H BOYD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-278-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "17510",
            "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 Jan 12, 2012; 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.