GARY BRONSON BUBBA BOGGS AGACNP
NPI 1194219584
Nurse Practitioner - Acute Care in Mccomb, MS
About Gary Bronson Bubba Boggs Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY BRONSON BUBBA BOGGS AGACNP (NPI 1194219584) is an individual acute care provider in Mccomb, Mississippi, licensed in Mississippi (890001) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary Bronson Bubba Boggs Agacnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Gary Boggs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hammond, LA 70403
- Reassigned Medicare billing, Mississippi enrollment
- 70 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Merit Health River Region
Acute Care Hospitals · Vicksburg, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCCOMB, MS 39648
MCCOMB, MS 39648
MCCOMB, MS 39648
MCCOMB, MS 39648
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Boggs's NPI number?
The NPI number for Gary Boggs is 1194219584. It was assigned to this individual provider in the NPPES registry on June 19, 2018.
Where is Gary Boggs located?
Gary Boggs practices at 215 Marion Ave, Mccomb, MS 39648. The listed phone number is (601) 249-5500.
What is Gary Boggs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Gary Boggs enrolled in Medicare?
Yes. Gary Boggs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gary Boggs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Boggs reassigns Medicare benefits to 2 organizations: Wound Care Associates LLC (Hammond, LA) and Jackson Pulmonary Associates, PA (Jackson, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Boggs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Boggs accept?
Health plans from Oscar Health Plan, Inc. list Gary Boggs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Gary Boggs affiliated with any hospitals?
According to CMS data, Gary Boggs is affiliated with Merit Health River Region.
When was this NPI record last updated?
The NPPES record for Gary Boggs was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gary Bronson Bubba Boggs, AGACNP · NPI 1194219584
Acute Care physician in Mccomb, Mississippi. Individual provider, active in the CMS NPPES registry since June 19, 2018.
## Identity
- **NPI:** 1194219584 (Entity type: Individual)
- **Enumerated:** June 19, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 890001 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 MARION AVE, Mccomb, MS 39648-2705
- **Phone:** (601) 249-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wound Care Associates LLC (NPI 1568793750, Hammond, LA); Jackson Pulmonary Associates, PA (NPI 1174570584, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194219584) · Data from the CMS NPPES public registry.