Steven Leander Bouldin, M.D.

Key facts

NPI

1669799532

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

55472 (TN)

Practice address

1559 Sparta St
McMinnville, TN 37110-1316

Phone

(931) 815-4000

NPI assigned

Apr 30, 2010

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Murfreesboro Medical Clinic, P.a. Specialist · Murfreesboro, TN · NPI 1487604609
  Medicare reassignment Care Compare group TN
• App of Tennessee Ed, PLLC Emergency Medicine Physician · Maryville, TN · NPI 1003230236
  Medicare reassignment NPD EMERGENCY MEDICINE · TN
• App of Tennessee HM, PLLC Hospitalist Physician · Shelbyville, TN · NPI 1396160768
  Medicare reassignment NPD EMERGENCY MEDICINE · TN
• Saint Thomas Medical Partners Internal Medicine Physician · Nashville, TN · NPI 1437194669
  Medicare reassignment NPD FAMILY MEDICINE · TN
• Etowah Emergency Physicians, LLC Emergency Medicine Physician · Rome, GA · NPI 1962944900
  Medicare reassignment NPD EMERGENCY MEDICINE · GA
• Georgia Hospitalists Group, LLC Hospitalist Physician · Riverdale, GA · NPI 1033576376
  Medicare reassignment NPD GA
• Murfreesboro Medical Clinic, P.a. Specialist · Murfreesboro, TN · NPI 1639299803
  Care Compare group NPD
• Middle Tennessee Emergency Physicians PC Emergency Medicine Physician · Nashville, TN · NPI 1194758979
  Medicare reassignment TN
• Murfreesboro Medical Clinic, P.a. Endoscopy Clinic/Center · Murfreesboro, TN · NPI 1013782499
  Care Compare group
• Georgia Hospitalists Group, LLC Hospitalist Physician · Griffin, GA · NPI 1063859692
  NPD
• Georgia Hospitalists Group, LLC Hospitalist Physician · Cedartown, GA · NPI 1477099588
  NPD
• Emcare Physician Providers, Inc. Emergency Medicine Physician · Lafayette, TN · NPI 1902858137
  NPD (past) EMERGENCY MEDICINE
• Floyd Emergency Physicians, LLC Emergency Medicine Physician · Rome, GA · NPI 1811907124
  NPD (past) EMERGENCY MEDICINE

Hospital & facility affiliations 3

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

• Adoration Home Health, LLC Home Health Agency · Madison, TN · NPI 1790161321
  Care Compare affiliation Home health agency
• HHC, L.L.C. Home Health Agency · Smyrna, TN · NPI 1437107133
  Care Compare affiliation Home health agency
• Willowbrook Home Health Care Agency, Inc. Home Health Agency · Murfreesboro, TN · NPI 1356348684
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice
Also: Hospitalist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Murfreesboro Medical Clinic, P.a. (176 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency · Smyrna, TN · CCN 447563
• Adoration Home Health, LLC Home health agency · Madison, TN · CCN 447581
• Aveanna Home Health Home health agency · Murfreesboro, TN · CCN 447163

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in GA, TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2021.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121581H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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