Bolynthia Denise Singleton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005198 Issued in GA

Practice address

The Wound Pros
4640 Admiralty Way Suite 500
Marina del Ray, CA 90292

Phone

(888) 880-3451

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Bolynthia Denise Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• American Wound Care Partners

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1497456818
  NPD
• The Lung Centers of Georgia

  • Specialist
  • Atlanta, GA
  • NPI 1598051054
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1679630602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 BRITTANY PARK LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946275",
            "telephone_number": "404-274-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE WOUND PROS",
            "address_2": "4640 ADMIRALTY WAY SUITE 500",
            "city": "MARINA DEL RAY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "888-880-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "BOLYNTHIA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-12-27",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOLYNTHIA",
            "last_name": "MYERS",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "credential": "BSRRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gratto Aquatic Rehab (same)
• Golnaz Rouhani, PA-C

• Medical Physician Assistant in Marina del Ray, CA
• Providers in Marina del Ray, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.