Derek A Boyer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06304 Issued in NC

Practice address

322 Mulberry St SW Ste a
Lenoir, NC 28645-5703

Phone

(828) 757-6460

Fax

(828) 759-4901

NPI assigned

Jun 12, 2013

Last updated

Mar 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL, NC, GA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson Emergency Services, PLLC

  • Emergency Medicine Physician
  • Jefferson, NC
  • NPI 1720495336
  Medicare reassignment
• Southwest Florida Emergency Management LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1780911206
  Medicare reassignment
• Southwest Florida Emergency Physicians, PA

  • Emergency Medicine Physician
  • Fort Myers, FL
  • NPI 1588659502
  Medicare reassignment
• Thse - Marco Urgent Care LLC

  • Internal Medicine Physician
  • Marco Island, FL
  • NPI 1801125331
  Medicare reassignment
• Franklin Regional Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Louisburg, NC
  • NPI 1942530530
  NPD
• Dolphin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1871542712
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1881643740
  NPD (past)
• Magnolia Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1164471090

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1790123743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "SUITE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718100",
            "telephone_number": "352-732-9888",
            "fax_number": "352-732-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MULBERRY ST SW STE A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455703",
            "telephone_number": "828-757-6460",
            "fax_number": "828-759-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1834 SW 1st Ave",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344718100",
            "country_code": "US",
            "telephone_number": "352-732-9888",
            "fax_number": "352-732-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "DEREK",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06304",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9107230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jacob Botzenhart, PHARMD
• Jeremie Daniel Bourget, DO
• John H Bowen, M.D.
• Susan S Bowen, MA,CCC-SLP
• Laura May Bowles
• Melanie Aldridge Bradford, FNP
• William Reed Brassell Jr., PH.D.
• Melissa Marie Braunsteiner, MD
• Stephen M Bregler, PT
• David C Brendle, D.O.

• Physician Assistant in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.