Christopher S Boyd, PA – Physician Assistant

Key facts

NPI: 1831384866
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 230 (WY)
Practice address: 3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone: (229) 257-1459
NPI assigned: Sep 12, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

University of Wyoming Federally Qualified Health Center (FQHC) · Laramie, WY · NPI 1639617061

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
WY230	WY	MD	Specialist

Practice roles

Organization	Specialty	Status	New patients
University of Wyoming		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	WY230	WY
Orthopaedic Surgery Physician	207X00000X	WY230	WY
Physician Assistant	363A00000X	230	WY	Yes

Addresses

Primary practice location

3278 Mitchell Blvd
Moody Afb, GA 31699-1500

Mailing address

3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone (229) 257-1459

Other identifiers

Identifier	Type	State	Issuer
106425800	Medicaid	WY

Other providers in Moody Afb, GA

All providers in Moody Afb, GA · Physician Assistant in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.