Active NPI
William Boydston, MD
- Neurological Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 34112
- Practice address
- 5461 Meridian Mark Rd Ste 520
Atlanta, GA 30342-3283 - Phone
- (404) 785-2900
- Fax
- (404) 785-2930
- NPI assigned
- May 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 34112 | GA | Primary |
Addresses
Primary practice location
5461 Meridian Mark Rd Ste 520
Atlanta, GA 30342-3283
Mailing address
5461 Meridian Mark Rd Ste 520
Atlanta, GA 30342-3283
Phone (404) 785-2900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160309001297 | GA | Practitioner - Neurosurgery | 2365520210 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34112 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Neurosurgery Associates at Children'S, LLC | Neurological Surgery | Current | Accepting new patients |
| Scottish Rite Childrens Medical Ctr | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Scottish Rite Children'S Medical Center | Past | Accepting new patients |
Locations
1500 Oglethorpe Ave
Bldg 600EF
Athens, GA 30606
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
5461 Meridian Mark Rd
Ste 520
Sandy Springs, GA 30342
Phone (404) 785-2900
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
5461 Meridian Mark Rd
Ste 540
Sandy Springs, GA 30342
Phone (404) 255-6309
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
Interoperability endpoints
- wboydston1788@choa.gadirect.net
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Brookhaven, GA
- NPI 1255475091
GA, Neurological Surgery
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
-
- Children's Hospital
- Atlanta, GA
- NPI 1922178789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1891749925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5461 MERIDIAN MARK RD STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423283",
"telephone_number": "404-785-2900",
"fax_number": "404-785-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5461 MERIDIAN MARK RD STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423283",
"telephone_number": "404-785-2900",
"fax_number": "404-785-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYDSTON",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "34112",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "5461 Meridian Mark Rd Ste 520",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303423283",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 6, 2022; 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.