Aisha Wilson Boykin, PARAPROFESSIONAL
Individual provider Active NPI Contractor · Stockbridge, GA
NPI 1669360657 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1669360657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 208 Ballard Cir
Stockbridge, GA 30281-9605 - Phone
- (404) 259-0640
- NPI assigned
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
208 Ballard Cir
Stockbridge, GA 30281-9605
Mailing address
208 Ballard Cir
Stockbridge, GA 30281-9605
Phone (404) 259-0640
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.