Individual provider Active NPI

Travis Guthrie Boyd, MD

  • Plastic and Reconstructive Surgery Physician
  • Macon, GA
National Provider Identifier
1669819736
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
103434 Issued in GA
Practice address
4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone
(478) 474-2200
NPI assigned
May 30, 2013
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 103434 GA Primary

Addresses

Primary practice location

4030 Riverside Park Blvd
Macon, GA 31210-1365

Mailing address

4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone (478) 474-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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
I20200820003455 TX Practitioner - Plastic and Reconstructive Surgery 5294062444 Reassigns benefits to 1 organization
I20250923000099 GA Practitioner - Plastic and Reconstructive Surgery 5294062444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Plastic SurgeryGroup PAC ID 7911994546, 5 clinicians

Practice addresses (Care Compare)

4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone (478) 474-2200

5201 Harry Hines Blvd
Dallas, TX 75235-7708
Phone (214) 645-0624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6578TXMDPlastic and Reconstructive Surgery Physician
BP10047545TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Plastic Surgery CurrentSince Jul 5, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

1801 Inwood Rd
Fl 4
Dallas, TX 75235
Phone (214) 645-3101

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: tboyd3021930@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1669819736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "TRAVIS",
        "middle_name": "GUTHRIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "103434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.