Active NPI
Christopher Garrett Boullion, D.O.
- Orthopaedic Surgery Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1429
- Practice address
- 920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180 - Phone
- (843) 848-1440
- Fax
- (843) 839-1654
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101016197 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 1429 | SC | Primary |
Addresses
Primary practice location
920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180
Mailing address
920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180
Phone (843) 848-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01429100 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CHRISTOPHER.BOULLION@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
920 Doug White Dr
Suite 130
Myrtle Beach, SC 29572-4120
Phone (843) 848-1440
Hospital & facility affiliations
- Amedisys Home Health of Georgetown
- Centerwell Home Health
- Medical Services of America Home Health - Coastal
- Well Care Home Health of the Lowcountry Inc
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.55 of 100
- Quality
- 73.67
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Spinal fusion | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1429 | SC | MD | Optician |
| 5101016197 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Specialty Associates, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
8170 Rourk St
Ste 150
Myrtle Beach, SC 29572
Phone (843) 449-2336
8170 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-1963
849 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-2336
920 Doug White Dr
Ste 130
Myrtle Beach, SC 29572
Phone (843) 497-6348
Interoperability endpoints
- christopher.boullion@hca5.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Myrtle Beach, SC
- NPI 1821398512
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Georgetown, SC
- NPI 1760430334
-
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1972551216
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1821027962
-
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1124536446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1730201112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 130",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724180",
"telephone_number": "843-848-1440",
"fax_number": "843-839-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 130",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724180",
"telephone_number": "843-848-1440",
"fax_number": "843-839-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULLION",
"first_name": "CHRISTOPHER",
"middle_name": "GARRETT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2022-01-26",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101016197",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "1429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01429100",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CHRISTOPHER.BOULLION@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "920 Doug White Dr Ste 130",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295724180",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.