Boice-Willis Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BOICE-WILLIS CLINIC PA

Practice address

901 N Winstead Ave
Rocky Mount, NC 27804-8467

Phone

(252) 937-0200

Fax

(252) 451-0056

NPI assigned

May 28, 2006

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renita Richardson

Title

Revenue and Reimbursement Manager

Phone

(252) 937-0326

Specialties & licenses 15

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Boice Willis Clinic PA

  dba Boice-Willis Clinic Endoscopy Center

  • Endoscopy Clinic/Center
  • Rocky Mount, NC
  • NPI 1144317470

  0143122382

  Same PAC ID
• Boice-Willis Clinic, PA

  • Clinical Medical Laboratory
  • Rocky Mount, NC
  • NPI 1598911885

  0143122382

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Boice-Willis Clinic, PA

  • Physical Therapy Clinic/Center
  • Rocky Mount, NC
  • NPI 1952557241

  O20040127000265

  Same enrollment

Locations

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wendell Anderson, MD

  • Gastroenterology Physician
  • Rocky Mount, NC
  • NPI 1184628844
  Medicare reassignment Care Compare group NPD
• Godfried A Arthur, MD

  • Family Medicine Physician
  • Nashville, NC
  • NPI 1134249501
  Medicare reassignment Care Compare group NPD
• Linda Anne Bassett Shaftoe, MD

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1396739116
  Medicare reassignment Care Compare group NPD
• Michelle Wilkins Beckham, MD

  • Family Medicine Physician
  • Spring Hope, NC
  • NPI 1417941402
  Medicare reassignment Care Compare group NPD
• Xaverie Lene Benedict, DO

  • Family Medicine Physician
  • Spring Hope, NC
  • NPI 1508487091
  Medicare reassignment Care Compare group NPD
• Paul Villere Bondy, MD

  • Family Medicine Physician
  • Nashville, NC
  • NPI 1912991886
  Medicare reassignment Care Compare group NPD
• Stephanie Lynn Boone, NP

  • Gerontology Nurse Practitioner
  • Rocky Mount, NC
  • NPI 1730757998
  Medicare reassignment Care Compare group NPD
• Courtney Rae Boyd, NP

  • Family Nurse Practitioner
  • Rocky Mount, NC
  • NPI 1770140956
  Medicare reassignment Care Compare group NPD
• David Allen Browder, MD

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1194719104
  Medicare reassignment Care Compare group NPD
• Christina McCartney Bulluck, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Nashville, NC
  • NPI 1326645649
  Medicare reassignment Care Compare group NPD
• Matthew P Chamberlain, MD

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1053305722
  Medicare reassignment Care Compare group NPD
• Emily Drew Chavis Newton, MS, RDN, LDN

  • Registered Dietitian
  • Rocky Mount, NC
  • NPI 1376426148
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1699722389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0200",
            "fax_number": "252-451-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048467",
            "telephone_number": "252-937-0200",
            "fax_number": "252-451-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOICE-WILLIS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RENITA",
        "authorized_official_title_or_position": "REVENUE AND REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "252-937-0326"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "01122",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephus TH Bloem, MD
• Kristin McGinnis Blonk, DNP, CRNA
• BN Healthcare, LLC (South Village)
• Crystal L Bobbitt, LMFTA
• Boice Willis Clinic PA (Boice-Willis Clinic Endoscopy Center)
• Boice-Willis Clinic, PA
• Boice-Willis Clinic, PA
• India Monaye Bolden
• Chineta Bond II
• Jack Rhodes Boney, CRNA

• Internal Medicine Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.