Jacqueline Boone

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

519 Pleasant Home Rd Ste A4
Augusta, GA 30907-0548

Phone

(706) 306-5225

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1841948353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 BROOKFIELD PKWY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309073151",
            "telephone_number": "706-306-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PLEASANT HOME RD STE A4",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070548",
            "telephone_number": "706-306-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Bonvillain, MD
• Ashley Booher
• Aletrius Booker
• David L Booker, M.D.
• Debra Susan Booker, FNP, BC
• Katherine Boone, D.M.D.
• Laura Evelyn Boone, RPTA
• Vaibhav Bora, M.B.B.S.
• Casey Nicole Borba, APRN, ACNPC-AG
• Amber Key Bordon, CRNA

• Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.