Individual provider Active NPI

Aaron Michael Boals, MD

  • Family Medicine Physician
  • Kernersville, NC
National Provider Identifier
1750369724
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701255 Issued in NC
Practice address
291 Broad St
Kernersville, NC 27284-2932
Phone
(336) 993-8181
Fax
(336) 996-9539
NPI assigned
Jan 9, 2006
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701255 NC Primary

Addresses

Primary practice location

291 Broad St
Kernersville, NC 27284-2932

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 993-8181

Other identifiers 1

IdentifierTypeStateIssuer
89130U4MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aboals5378@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100301000481 NC Practitioner - Family Practice 6305868514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

2133 Rockford St
Suite 1400
Mount Airy, NC 27030-6594
Phone (336) 673-6560

7607 NC Hwy 68 N
Suite B
Oak Ridge, NC 27310-8803
Phone (336) 643-3378

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 15, 2023 Accepting new patients
Forsyth Memorial Hospital Inc Family Medicine CurrentSince Jan 28, 2002 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jan 28, 2002 Accepting new patients
Novant Health Medical Group, LLC Family Medicine PastSince Mar 22, 2020 Accepting new patients
Novant Health Medical Group, LLC Family Medicine PastSince Nov 1, 2023 Accepting new patients

Locations (25 of 31)

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

3515 W Market St
Ste 200
Greensboro, NC 27403
Phone (336) 660-5520

1226 Eastchester Dr
#200
High Point, NC 27265
Phone (336) 481-8610

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

1236 Guilford College Rd
Ste 117
Jamestown, NC 27282
Phone (336) 299-3161

1471 Jag Branch Blvd
Unit 103
Kernersville, NC 27284
Phone (336) 515-7410

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

216 Moore Rd
King, NC 27021
Phone (336) 768-1270

1926 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 242-1228

4705 S Highway 150
Ste Bc
Lexington, NC 27295
Phone (336) 481-1780

2133 Rockford St
Ste 1400
Mount Airy, NC 27030
Phone (336) 673-6560

865 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-6100

7607 NC Highway 68 N
Ste B
Oak Ridge, NC 27310
Phone (336) 643-3378

4611 Yadkinville Rd
Pfafftown, NC 27040
Phone (336) 718-7600

290 W Wall St
Rural Hall, NC 27045
Phone (336) 969-1185

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2800 Darrow Rd
Walkertown, NC 27051
Phone (336) 595-3699

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

10479 N NC Highway 109
Ste 107A
Winston Salem, NC 27107
Phone (336) 769-0246

105 Vest Mill Cir
Winston Salem, NC 27103
Phone (336) 718-7800

114 W 30th St
Ste 800
Winston Salem, NC 27105
Phone (336) 277-2000

12208 N NC Highway 150
Winston Salem, NC 27127
Phone (336) 764-2324

1995 Bethabara Rd
Winston Salem, NC 27106
Phone (336) 759-7596

Interoperability endpoints

  • Direct secure messaging: aboals5378@direct.novanthealth.org

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1750369724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-993-8181",
            "fax_number": "336-996-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROAD ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842932",
            "telephone_number": "336-993-8181",
            "fax_number": "336-996-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOALS",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130U4",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aboals5378@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "291 Broad St",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272842932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.