Individual provider Active NPI

Steven Leander Bouldin, M.D.

  • Family Medicine Physician
  • McMinnville, TN
National Provider Identifier
1669799532
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55472 Issued in TN
Practice address
1559 Sparta St
McMinnville, TN 37110-1316
Phone
(931) 815-4000
NPI assigned
Apr 30, 2010
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67110 GA
Emergency Medicine Physician 207P00000X 67110 GA
Family Medicine Physician 207Q00000X 55472 TN Primary

Addresses

Primary practice location

1559 Sparta St
McMinnville, TN 37110-1316

Mailing address

2818 Cherry Blossom LN
Murfreesboro, TN 37129-0222
Phone (615) 410-0400

Other practice location 1

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120312000775 GA Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Family Practice 5799944633 Reassigns benefits to 2 organizations
I20170613000039 TN Practitioner - Family PracticePractitioner - Hospitalist 5799944633 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murfreesboro Medical Clinic, P.a.Group PAC ID 4789589227, 176 clinicians

Practice addresses (Care Compare)

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-7925

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67110GAMDFamily Medicine Physician
55472TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jun 10, 2017 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Feb 21, 2017 Accepting new patients
App of Tennessee HM, PLLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Feb 21, 2017 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients
Floyd Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

1272 Garrison Dr
Ste 303
Murfreesboro, TN 37129
Phone (615) 849-9358

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

300 20th Ave N
Fl 9
Nashville, TN 37203

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: stevenbouldin@mmcsc.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1669799532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 CHERRY BLOSSOM LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290222",
            "telephone_number": "615-410-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Turner McCall Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301655621",
            "country_code": "US",
            "telephone_number": "706-509-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULDIN",
        "first_name": "STEVEN",
        "middle_name": "LEANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67110",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "55472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.