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PHAEDRA BOYKIN
NPI 1457104523
Counselor - Professional in Atlanta, GA

Active since April 09, 2024PECOS Enrolled
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-4787 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phaedra Boykin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHAEDRA BOYKIN (NPI 1457104523) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC014128) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457104523
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePHAEDRA BOYKIN
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address324 Meadow Glen PkwyFairburn, GA 30213-4239 · (478) 951-5766
Phone(404) 616-4787
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1457104523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014128
80 JESSE HILL JR DR SE, Atlanta, GA 30303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phaedra Boykin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567928104
PECOS Enrollment IDI20260803003308
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.

Medicare Billing Reassignment

Medicare enrollment records show Phaedra Boykin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grady Memorial Hospital Corporation
Same address
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SHANNON WALKER IKE MD
Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
KAYLA NIKEA HUGINE
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
EMILIA POMA
Student in an Organized Health Care Education/Training Program
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
JAYALAKSHMI K RAO MD
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7717
DR. KAREN MICHELLE CURZIO PHARM.D.
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5404
DR. TELSIE A. DAVIS PH.D.
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (678) 612-4210
ALICIA WONG LPC
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5317
SELENA KIM CAA
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000

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 Phaedra Boykin's NPI number?

The NPI number for Phaedra Boykin is 1457104523. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Phaedra Boykin located?

Phaedra Boykin practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-4787.

What is Phaedra Boykin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Phaedra Boykin enrolled in Medicare?

Yes. Phaedra Boykin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phaedra Boykin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phaedra Boykin reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, GA). The 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 Phaedra Boykin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phaedra Boykin was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.