NPIMap

Individual provider Active NPI

Colleen Horohoe Boyd, NP

  • Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1740524768
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18258 Issued in SC
Practice address
5500 Front St Ste 230
Summerville, SC 29486-8140
Phone
(843) 569-1856
Fax
(843) 569-1879
NPI assigned
Nov 15, 2012
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337663 NY
Family Nurse Practitioner 363LF0000X 18258 SC
Nurse Practitioner 363L00000X 18258 SC Primary

Addresses

Primary practice location

5500 Front St Ste 230
Summerville, SC 29486-8140

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000516 SC Practitioner - Nurse Practitioner 2264676220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPCP Specialty Physicians , LLCGroup PAC ID 2466723028, 20 clinicians

Practice addresses (Care Compare)

5500 Front St
Suite 230
Summerville, SC 29486-8140
Phone (843) 572-7727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18258SCMDNurse Practitioner
337663NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
PPCP Specialty Physicians , LLC CurrentSince Mar 7, 2022 Accepting new patients
PPCP Specialty Physicians , LLC CurrentSince Mar 7, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 27, 2020 Accepting new patients
PPCP Specialty Physicians , LLC Current Accepting new patients
University Medical Associates of the Medical University of South Carol Nurse Practitioner CurrentSince Apr 27, 2020 Accepting new patients
PPCP Specialty Physicians, LLC Past Accepting new patients
PPCP Specialty Physicians, LLC Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

7 S Alliance Dr
Ste 202A
Goose Creek, SC 29445
Phone (843) 553-4383

5500 Front St
Ste 230
Summerville, SC 29486
Phone (843) 569-1856

Interoperability endpoints

  • Direct secure messaging: colleen.boyd@ppcp1.eclinicaldirectplus.com

Organizations & group practices 8

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1740524768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FRONT ST STE 230",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868140",
            "telephone_number": "843-569-1856",
            "fax_number": "843-569-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "COLLEEN",
        "middle_name": "HOROHOE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18258",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "18258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.