Individual provider Active NPI

Milton Derrick Boden, M.D.

  • Infectious Disease Physician
  • Decatur, GA
National Provider Identifier
1720037310
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
041518 Issued in GA
Practice address
2665 N Decatur Rd
Suite 330
Decatur, GA 30033-6149
Phone
(404) 297-9755
Fax
(404) 297-5008
NPI assigned
May 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 041518 GA Primary

Addresses

Primary practice location

2665 N Decatur Rd
Suite 330
Decatur, GA 30033-6149

Mailing address

2101 Chesterfield Dr NE
Atlanta, GA 30345-3705
Phone (404) 633-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100415000444 GA Practitioner - Infectious Disease 8426185901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Medical College of Georgia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7444 Hannover Pkwy S
Suite 210
Stockbridge, GA 30281-7847
Phone (877) 448-3627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of skin lesions14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041518GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Apr 1, 2024 Accepting new patients
Infectious Disease Specialists of Atlanta PC Infectious Disease CurrentSince Jun 1, 2000 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Apr 1, 2024 Accepting new patients

Locations

11800 Northfall Ln
Ste 1406
Alpharetta, GA 30009
Phone (678) 413-1360

2665 N Decatur Rd
Ste 330
Decatur, GA 30033
Phone (404) 297-9755

7444 Hannover Pkwy S
Ste 210
Stockbridge, GA 30281
Phone (770) 741-1750

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Interoperability endpoints

  • Direct secure messaging: miltonderrickboden@infectious.allscriptsdirect.net

Organizations & group practices 3

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 6

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720037310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHESTERFIELD DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453705",
            "telephone_number": "404-633-1945",
            "fax_number": "404-297-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "address_2": "SUITE 330",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "404-297-9755",
            "fax_number": "404-297-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEN",
        "first_name": "MILTON",
        "middle_name": "DERRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "041518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.