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DR. SHEILA BOULDIN M.D. NPI 1164467643


NPI Information

NPI: 1164467643
Provider Name: DR. SHEILA BOULDIN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

PECOS Registration: Yes

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-5373
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DR. Sheila Bouldin, M.D. is an obstetrics gynecology in Jackson, MS with 33 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Sheila Bouldin, M.D. NPI is 1164467643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5373
Fax: (601) 984-5476

The NPI 1164467643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)

The enumeration date for this NPI number is 6/18/2006 and was last updated on 11/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology15149MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1178135MEDICAIDMISSISSIPPI
2302I167015MEDICARE PINMISSISSIPPI
3512G700003OTHERMISSISSIPPIUP MEDICARE GROUP PROV #
4G92734MEDICARE UPINMISSISSIPPI
5160000509MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMCRE INDIVIDUAL NUMBER
6C00319MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMCRE GROUP NUMBER
7512I160015OTHERMISSISSIPPIMEDICARE PTAN
8160056544OTHERMISSISSIPPIRR MEDICARE NUMBER
900120467MEDICAIDMISSISSIPPI
1008103071OTHERMISSISSIPPIUP MEDICAID GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.