Individual provider Active NPI

Deborah Boyd, PA-C

  • Medical Physician Assistant
  • West Columbia, TX
National Provider Identifier
1639209190
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02401 Issued in TX
Practice address
513 S Columbia Dr
West Columbia, TX 77486-3025
Phone
(979) 345-6522
Fax
(979) 345-4922
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02401 TX Primary

Addresses

Primary practice location

513 S Columbia Dr
West Columbia, TX 77486-3025

Mailing address

513 S Columbia Dr
West Columbia, TX 77486-3025
Phone (979) 345-6522

Other practice location 1

201 That Way St
Lake Jackson, TX 77566-5211
Phone (979) 285-2100

Other practice location 2

1236 Sunset Trl
Angleton, TX 77515-9030
Phone (979) 549-8425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.47 of 100Reported as group
Quality
56.68
Promoting interoperability
99
Improvement activities
40
Cost
72.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Y2K Medical PA Past Accepting new patients
Kelsey-Seybold Medical Group, PLLC PastSince Jul 25, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1639209190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863025",
            "telephone_number": "979-345-6522",
            "fax_number": "979-345-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863025",
            "telephone_number": "979-345-6522",
            "fax_number": "979-345-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 That Way St",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665211",
            "country_code": "US",
            "telephone_number": "979-285-2100",
            "fax_number": "979-297-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1236 Sunset Trl",
            "address_purpose": "LOCATION",
            "city": "Angleton",
            "state": "TX",
            "postal_code": "775159030",
            "country_code": "US",
            "telephone_number": "979-549-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, TX

Sources for this page

Verify at the official NPI Registry.