Individual provider Active NPI

Courtney Rae Boyd, NP

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1770140956
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266210 Issued in NC
Practice address
921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone
(252) 937-0300
Fax
(252) 937-2903
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 266210 NC Primary

Addresses

Primary practice location

921 N Winstead Ave
Rocky Mount, NC 27804-8749

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0300

Other identifiers 1

IdentifierTypeStateIssuer
266210OtherNCRN/NP

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627000224 NC Practitioner - Nurse Practitioner 9537493457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
Boice-Willis Clinic PAGroup PAC ID 0143122382, 58 clinicians

Practice addresses (Care Compare)

3100 Duraleigh Rd
Suite 205
Raleigh, NC 27612-8105
Phone (919) 784-7874

921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone (252) 937-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boice-Willis Clinic PA CurrentSince May 23, 2019 Accepting new patients
Boice-Willis Clinic, PA CurrentSince May 23, 2019 Accepting new patients

Locations

3221 Zebulon Rd
Rocky Mount, NC 27804

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

Interoperability endpoints

  • Direct secure messaging: courtney.boyd@bwc.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1770140956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0300",
            "fax_number": "252-937-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048749",
            "telephone_number": "252-937-0300",
            "fax_number": "252-937-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "266210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN/NP",
            "identifier": "266210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.