Roger T Boyington, D.O.
Individual provider Active NPI Family Medicine Physician · Andalusia, AL
NPI 1689769739 · NPPES record last updated Sep 16, 2011
Key facts
- NPI
- 1689769739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO439 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Resources Management, Inc.
Practice addresses (Care Compare)
102 Conecuh Ave W
Union Springs, AL 36089-1303
Phone 33473821401429
Hospital & facility affiliations
- Bullock County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000062 | AL | Practitioner - Family Practice | 7113984857 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO439 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Jackson Healthcare Authority | Current |
Accepting new patients | |
| Professional Resources Management, Inc | Current |
Accepting new patients | |
| Professional Resources Management, Inc. | Current |
Accepting new patients | |
| Moore Emergency Group, LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Family Medicine | Current |
Accepting new patients |
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Medical Center Plus LLC | Current |
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) 222-6953
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO439 | AL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529901030 | Medicaid | AL | |
| 51078763 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| 000078763 | Other | AL | MEDICARE |
Other providers in Andalusia, AL
- Kaitlyn Elizabeth Beverly
- Rainer A. Birk
- Haley Bishop
- Cheryl Ann Blanck
- Robert Burman Bowen
- Alesha Bradley
- Shannon Brown
- Sharon Brown
- Leticia Buehl
- Julie W Burgess
All providers in Andalusia, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.