Elizabeth Boswell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036504 Issued in GA

Practice address

1355 Peachtree St NE Ste 580
Atlanta, GA 30309-3232

Phone

(404) 885-9030

Fax

(404) 885-9047

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 13, 2016 through Jan 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: elizabeth.boswell.1@6806.direct.athenahealth.com

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679601090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PARK LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092753",
            "telephone_number": "404-892-5976",
            "fax_number": "404-885-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 PEACHTREE ST NE STE 580",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093232",
            "telephone_number": "404-885-9030",
            "fax_number": "404-885-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "036504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Lashunda Bostick
• Rita Thetford Bostick, MA, LPC
• Roberd Maner Bostick, M.D.
• David Antuane Boston, PA
• Naja Alana Bostwick
• Vincent Everett Boswell, M.D., P.C.
• Rachel Susan Botbyl, MD
• Maame Tekyiwa Botchway, MD, MPH
• Patti Colleen Boteilho, AGACNP-BC
• Phil Botha, MBCHB, PHD

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.