Active NPI
Julie G Boggs, FNP
- Family Nurse Practitioner
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 946
- Practice address
- 1123 Spring St
Greenwood, SC 29646-3833 - Phone
- (864) 450-9036
- Fax
- (864) 450-9038
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | 946 | SC | Primary |
Addresses
Primary practice location
1123 Spring St
Greenwood, SC 29646-3833
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0789 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6875
Chicago, IL 60675
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6764
Chicago, IL 60675
104 Wells Ave
Greenwood, SC 29646
1123 Spring St
Greenwood, SC 29646
Phone (864) 450-8036
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
3165 Newberry Hwy
Saluda, SC 29138
Phone (864) 445-2500
157B S Greenwood Ave
Ware Shoals, SC 29692
Phone (864) 456-3447
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 and National Provider Directory roles.
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-
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- NPI 1659839694
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
-
- Diabetes Educator Registered Nurse
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- NPI 1417582503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1629087481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463837",
"telephone_number": "864-725-4673",
"fax_number": "864-725-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463833",
"telephone_number": "864-450-9036",
"fax_number": "864-450-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "JULIE",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0789",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.