HANNAH INGRID BOOMGARDEN PA-C NPI 1710528401

NPI Information

NPI: 1710528401
Provider Name: HANNAH INGRID BOOMGARDEN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1467 HARPER STREET HB 5040
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-4147
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Hannah Ingrid Boomgarden, PA-C is a surgical physician assistant in Augusta, GA with 5 years of experience. Hannah Ingrid Boomgarden, PA-C NPI is 1710528401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1467 HARPER STREET HB 5040
AUGUSTA, GA
ZIP 30912-775
Phone: (706) 721-4147

The NPI 1710528401 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 enumeration date for this NPI number is 10/3/2019 and was last updated on 10/18/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	9506	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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