Samantha Lyn Boroughs, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

54794 Issued in GA

Practice address

400 Brookstone Centre Pkwy
Suite 200
Columbus, GA 31904-3639

Phone

(706) 507-3332

Fax

(706) 507-3359

NPI assigned

Jul 29, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Integrity Medical Group

  dba Brookstone Internal Medicine

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1396055091
  Authorized official Same address or phone
• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659385979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROOKSTONE CENTRE PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043639",
            "telephone_number": "706-507-3332",
            "fax_number": "706-507-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROOKSTONE CENTRE PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043639",
            "telephone_number": "706-507-3332",
            "fax_number": "706-507-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROUGHS",
        "first_name": "SAMANTHA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "54794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457935967A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Borelli, M.D.
• Bruce A Boretsky, DMD
• Nathan Tyler Borget, MAED, LAT, ATC, CSCS
• Gordon Borkat, MD
• Michael J. Borkat, M.D.
• Danielle Borr
• Curtis G. Borum, PT
• Melissa C Bosch, LPC, NCC
• Angela Boston, RN
• Karina Botero, DO

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.