Active NPI
Marlea J Boyd, PA-C
- Surgical Physician Assistant
- Memphis, TN
National Provider Identifier
1851831234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4046
- Practice address
- 1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544 - Phone
- (901) 758-7970
- Fax
- (901) 266-6425
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4046 | TN | Primary |
Addresses
Primary practice location
1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544
Mailing address
PO Box 27892
Belfast, ME 04915-2030
Phone (901) 758-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4046 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Women'S Care, L.L.C. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171
11850 W Market Pl
Ste P
Fulton, MD 20759
8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759
1165 Imperial Dr
Ste 300
Hagerstown, MD 21740
Phone (301) 665-9098
Interoperability endpoints
- mboyd30111@mlh.direct-ci.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Germantown, TN
- NPI 1629584131
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1427317908
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1679534069
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1851831234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27892",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152030",
"telephone_number": "901-758-9900",
"fax_number": "901-752-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 EASTMORELAND AVE STE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047544",
"telephone_number": "901-758-7970",
"fax_number": "901-266-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MARLEA",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "4046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.