Organization Active NPI

Vincent E. Boswell MD, P.C.

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1811006174
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
035820 Issued in GA
Legal business name
VINCENT E. BOSWELL MD, P.C.
Practice address
285 Boulevard NE Ste 115
Atlanta, GA 30312-4207
Phone
(404) 588-1272
Fax
(404) 588-1275
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Vincent Everett Boswell, M.D.
Title
Owner/Physician
Phone
(404) 588-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 035820 GA Primary

Addresses

Primary practice location

285 Boulevard NE Ste 115
Atlanta, GA 30312-4207

Mailing address

1776 Peachtree St NW
Suite 318N
Atlanta, GA 30309-2307
Phone (404) 588-1272

Other identifiers 1

IdentifierTypeStateIssuer
BCBSOtherGA884300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1811006174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PEACHTREE ST NW",
            "address_2": "SUITE 318N",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092307",
            "telephone_number": "404-588-1272",
            "fax_number": "404-588-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124207",
            "telephone_number": "404-588-1272",
            "fax_number": "404-588-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT E. BOSWELL MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "404-588-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "035820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "884300",
            "identifier": "BCBS",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.