Individual provider Active NPI

Coleman A. Boyd, M.D.

  • General Practice Physician
  • Bolton, MS
National Provider Identifier
1679598783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17600 Issued in MS
Practice address
1635 N Davis Rd
Bolton, MS 39041-9588
Phone
(601) 954-5954
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17600 MS Primary

Addresses

Primary practice location

1635 N Davis Rd
Bolton, MS 39041-9588

Mailing address

1635 N Davis Rd
Bolton, MS 39041-9588
Phone (601) 954-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000806 MS Practitioner - Emergency Medicine 6204827801 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attala Emergency Group LLCGroup PAC ID 5294984340, 13 clinicians

Practice addresses (Care Compare)

220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311

330 N Broad St
Forest, MS 39074-3508
Phone (601) 469-4151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as group
Quality
88.1
Improvement activities
40
Cost
85.08

Merit-based Incentive Payment System (MIPS)

Final score
99.24 of 100Reported as group
Quality
90.02
Improvement activities
40
Cost
87.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17600MSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince Aug 8, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Mar 8, 2024 Accepting new patients
Correct Care, Inc. CurrentSince Nov 21, 2018 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Attala Emergency Group LLC CurrentSince Mar 15, 2016 Accepting new patients
Yazoo Emergency Group, LLC CurrentSince Sep 18, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Mar 8, 2024 Accepting new patients
Copiah County Medical Center Current Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Current Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Copiah County Medical Center CurrentSince Aug 8, 2024 Accepting new patients
Marion General Hospital Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Lefleur Emergency Physicians Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • Direct secure messaging: cboyd153987@direct.bmhcc.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679598783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N DAVIS RD",
            "city": "BOLTON",
            "state": "MS",
            "postal_code": "390419588",
            "telephone_number": "601-954-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N DAVIS RD",
            "city": "BOLTON",
            "state": "MS",
            "postal_code": "390419588",
            "telephone_number": "601-954-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "COLEMAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "17600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolton, MS

Sources for this page

Verify at the official NPI Registry.