Herbertta Pearson Boone, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38329 Issued in GA

Practice address

102 White Oak Cir
Dublin, GA 31021-3701

Phone

(478) 290-0353

Fax

(866) 228-6529

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC

  • General Practice Physician
  • Macon, GA
  • NPI 1902935281
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1740214212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16273",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310406273",
            "telephone_number": "478-290-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WHITE OAK CIR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213701",
            "telephone_number": "478-290-0353",
            "fax_number": "866-228-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "HERBERTTA",
        "middle_name": "PEARSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "38329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boland Prosthetic & Orthotic Center LLC
• Kathy Boles, RN
• Mark L Boles, M.D.
• Matthew Kaleb Boles, MD
• Melissa Alegre Bondoc
• Elizabeth Anne Bosarge, PH.D.
• Sarah Bothwell
• Betty Ann Boutwell, LPN
• Erica Woodard Bowles, PHARMD
• Debbie A Boyd, LPN

• Family Medicine Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.