Colleen Jane Boylston, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22459 Issued in SC

Practice address

2713 Dantzler Dr
Charleston, SC 29406-9005

Phone

(843) 764-1722

Fax

(843) 764-1788

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sweetgrass Pediatrics

  • Pediatrics Physician
  • North Charleston, SC
  • NPI 1437168135
  NPD (past)
• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Hope Mills, NC
  • NPI 1679529051
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1740299189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DANTZLER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069005",
            "telephone_number": "843-764-1722",
            "fax_number": "843-764-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 DANTZLER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069005",
            "telephone_number": "843-764-1722",
            "fax_number": "843-764-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5617 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283111423",
            "country_code": "US",
            "telephone_number": "910-483-7337",
            "fax_number": "910-483-0648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLSTON",
        "first_name": "COLLEEN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "02687",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "22459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany S Boyert, FNP
• Carla Boyette, CTRS
• Alice M Boylan, MD
• Catherine Boylan, MD
• Glenda Miley Boyle, RPH
• Joanna S Brabham, CRNA
• Gretchen L Bracey, PNP
• Jennifer Earle Bracey, MD
• Katie Lee Bracken, ATC
• Roberta Theresa Bracken, M.D.

• Pediatrics Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.