Individual provider Active NPI

Roger T Boyington, D.O.

  • Family Medicine Physician
  • Andalusia, AL
National Provider Identifier
1689769739
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO439 Issued in AL
Practice address
508 E Three Notch St
Andalusia, AL 36420-3128
Phone
(334) 427-2273
Fax
(334) 222-2583
NPI assigned
Oct 4, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO439 AL Primary

Addresses

Primary practice location

508 E Three Notch St
Andalusia, AL 36420-3128

Mailing address

PO Box 310
Andalusia, AL 36420-1205
Phone (334) 427-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20041215000062 AL Practitioner - Family Practice 7113984857 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Conecuh Ave W
Union Springs, AL 36089-1303
Phone 33473821401429

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO439ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Emergency Group, LLC CurrentSince Mar 1, 2018 Accepting new patients
Professional Resources Management, Inc CurrentSince Dec 1, 2021 Accepting new patients
Medical Center Plus LLC CurrentSince Jun 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
City of Jackson Healthcare Authority CurrentSince Mar 1, 2018 Accepting new patients
Professional Resources Management, Inc. CurrentSince Dec 1, 2021 Accepting new patients

Locations

508 E Three Notch St
Andalusia, AL 36420
Phone (334) 362-2015

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-8466

1685 E University Dr
Ste E
Auburn, AL 36830
Phone (334) 501-8867

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

4209 Carmichael Rd
Montgomery, AL 36106
Phone (334) 356-1020

102 Conecuh Ave W
Union Springs, AL 36089
Phone (334) 386-0378

Organizations & group practices 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1689769739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201205",
            "telephone_number": "334-427-2273",
            "fax_number": "334-222-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203128",
            "telephone_number": "334-427-2273",
            "fax_number": "334-222-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYINGTON",
        "first_name": "ROGER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.