Active NPI
Daniel Boone, DO
- Family Medicine Physician
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19021
- Practice address
- 1506 Aston Ave
McComb, MS 39648-2735 - Phone
- (601) 249-4415
- Fax
- (601) 249-4474
- NPI assigned
- May 9, 2006
- Last updated
- Feb 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19021 | MS | Primary |
Addresses
Primary practice location
1506 Aston Ave
McComb, MS 39648-2735
Mailing address
PO Box 490
McComb, MS 39649-0490
Phone (601) 250-4366
Other practice location 1
1167 E Broad St
Monticello, MS 39654-7682
Phone (601) 587-1433
Other practice location 2
200 Marion Ave
McComb, MS 39648-2706
Phone (601) 250-4381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02956343 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Mississippi Regional Medical Center
Practice addresses (Care Compare)
1167 E Broad St
Lawrence County Family Practice
Monticello, MS 39654-7682
Phone (601) 587-1433
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19021 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Past | Accepting new patients |
Locations
1506 Aston Ave
McComb, MS 39648
Phone (601) 249-4282
200 Marion Ave
McComb, MS 39648
Phone (601) 250-4381
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
300 Rawls Dr
Ste 600
McComb, MS 39648
Phone (601) 249-4415
1167 E Broad St
Monticello, MS 39654
Phone (601) 587-1433
Interoperability endpoints
- dboone5074285@direct.casso.us.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lawrence County Family Practice
- Rural Health Clinic/Center
- Monticello, MS
- NPI 1245289172
-
dba McComb OB-GYN
- Obstetrics & Gynecology Physician
- McComb, MS
- NPI 1982174488
-
dba Summit Family Practice Rural Health Clinic
- Rural Health Clinic/Center
- Summit, MS
- NPI 1154008811
-
dba Southwest Surgical
- Surgery Physician
- McComb, MS
- NPI 1497018881
-
dba Premier Medical Clinic
- Rural Health Clinic/Center
- McComb, MS
- NPI 1962451831
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
-
- Home Health Agency
- McComb, MS
- NPI 1255401642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1619926433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490490",
"telephone_number": "601-250-4366",
"fax_number": "601-250-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 ASTON AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482735",
"telephone_number": "601-249-4415",
"fax_number": "601-249-4474"
}
],
"practiceLocations": [
{
"address_1": "1167 E Broad St",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "MS",
"postal_code": "396547682",
"country_code": "US",
"telephone_number": "601-587-1433",
"fax_number": "601-587-1625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Marion Ave",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482706",
"country_code": "US",
"telephone_number": "601-250-4381",
"fax_number": "601-250-4367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOONE",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "19021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02956343",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.