BOATOX LLC
NPI 1770441248
Nurse Practitioner - Family in Ridgeland, MS

Active since January 13, 2026
113 W JACKSON ST STE 1A, RIDGELAND, MS 39157(601) 863-9663(855) 343-5763 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Boatox Llc NPPES

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

BOATOX LLC (NPI 1770441248) is a healthcare organization registered as a family in Ridgeland, Mississippi and active in the NPI registry since January 2026. The organization lists Teresa Green, Revenue Cycle Admin, as its authorized official.

NPPES Registry Identity

NPI1770441248
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBOATOX LLC
Location Address113 W JACKSON ST STE 1ARidgeland, MS 39157-2401
Mailing Address24898 Route W40Bonaparte, IA 52620-8142 · (903) 571-3844 · Fax (855) 343-5763
Fax(855) 343-5763
Organization SubpartNo
Authorized OfficialTeresa GreenRevenue Cycle Admin · (903) 571-3844
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
NPI 1770441248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
113 W JACKSON ST STE 1A, Ridgeland, MS 39157

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Boatox LLC's NPI number?

The NPI number for Boatox LLC is 1770441248. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Boatox LLC located?

Boatox LLC is located at 113 W Jackson St Ste 1A, Ridgeland, MS 39157. The listed phone number is (601) 863-9663.

What is Boatox LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Boatox LLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.