Active NPI
Steven Leander Bouldin, M.D.
- Family Medicine Physician
- McMinnville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55472
- Practice address
- 1559 Sparta St
McMinnville, TN 37110-1316 - Phone
- (931) 815-4000
- NPI assigned
- Apr 30, 2010
- Last updated
- Apr 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-7925
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67110 | GA | MD | Family Medicine Physician |
| 55472 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| App of Tennessee HM, PLLC | Emergency Medicine | Current | Accepting new patients |
| Saint Thomas Medical Partners | Family Medicine | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Murfreesboro Medical Clinic, P.a. | Current | Accepting new patients | |
| Etowah Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Etowah Emergency Physicians, LLC | Emergency Medicine | Past | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
- Specialist
- Murfreesboro, TN
- NPI 1487604609
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Family Medicine
-
- Emergency Medicine Physician
- Rome, GA
- NPI 1962944900
-
- Hospitalist Physician
- Riverdale, GA
- NPI 1033576376
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
-
- Specialist
- Murfreesboro, TN
- NPI 1639299803
-
- Hospitalist Physician
- Griffin, GA
- NPI 1063859692
-
- Hospitalist Physician
- Cedartown, GA
- NPI 1477099588
-
- Emergency Medicine Physician
- Lafayette, TN
- NPI 1902858137
-
- Emergency Medicine Physician
- Cedartown, GA
- NPI 1306388343
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aveanna Home Health
- Home Health Agency
- Murfreesboro, TN
- NPI 1356348684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.