GARY BRONSON BUBBA BOGGS AGACNP
NPI 1194219584
Nurse Practitioner - Acute Care in Mccomb, MS

Q: 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.

Q: What is Gary Boggs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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 3 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.

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment

215 MARION AVE, MCCOMB, MS 39648(601) 249-5500 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Jun 19, 2018 (2 updates tracked since 2018).

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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

NPI1194219584

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameGARY BRONSON BUBBA BOGGSCredential: AGACNP

Location Address215 MARION AVEMccomb, MS 39648-2705

Mailing AddressPo Box 490Mccomb, MS 39649-0490 · (601) 250-4366 · Fax (601) 250-4367

Phone(601) 249-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 19, 2018

Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1194219584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · 890001

215 MARION AVE, Mccomb, MS 39648

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Secondary Practice Location 1

Location 1971 Lakeland Dr Ste 1052Jackson, MS 39216-4609 · Phone (601) 981-9503

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3779831094

PECOS Enrollment IDI20180802002577

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

24 services24 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

22 services22 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

17 services17 patients

Insertion of tube connecting vein to vein for hemodialysis 36800

This procedure involves placing a tube in your body to create a direct pathway between two veins. This is done to facilitate hemodialysis, a treatment that cleans your blood when your kidneys can't. The tube allows easy, repeated access to your bloodstream, ensuring effective dialysis.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250031

Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County

Emergency services Birthing friendly

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250138

Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County

Emergency services Birthing friendly

Physician 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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARTI VADALIA MD

Student in an Organized Health Care Education/Training Program