GEORGE AUSTIN BOOTHE (CRNP) – Family Nurse Practitioner, NPI 1134568967

GEORGE AUSTIN BOOTHE (CRNP) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-109113 (AL). The NPI Number for GEORGE AUSTIN BOOTHE (CRNP) is 1134568967

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE AUSTIN BOOTHE (CRNP)
NPI
1134568967
Phone
(334) 272-1050
Address
4770 WOODMERE BLVD STE B
Enumeration Date
14 June 2013
Last Update Date
14 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3346139000
Graduation Year
2013 (13 years ago)
PAC ID
9133360043
Group Practice PAC ID
9335166685
Professional Enrollment ID
I20130718000380
Address ID
AL361173563MO454XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for GEORGE AUSTIN BOOTHE (CRNP)

  • 4770 WOODMERE BLVD STE B

    MONTGOMERY, AL 361063084

    Phone: (334) 272-1050

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Bioventus LLC ($39).

Total Amount

$132

General + Research + Ownership

Payments

7

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130718000380INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4436$0
73560X-ray of knee, 1-2 views1514$0
View full utilization report →

Insurance plans in this area (ZIP 36106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335166685View full group profile
NameSpecialtyState
-AL
Occupational Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physical Therapist In Private PracticeAL
Physician AssistantAL
Physician AssistantAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Does GEORGE AUSTIN BOOTHE (CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GEORGE AUSTIN BOOTHE (CRNP) uses 1134568967.
Is GEORGE AUSTIN BOOTHE (CRNP) listed as active for patients and plans?
The listing shows GEORGE AUSTIN BOOTHE (CRNP) as active in the NPI system.
What taxonomy line describes GEORGE AUSTIN BOOTHE (CRNP)?
For research purposes, treat GEORGE AUSTIN BOOTHE (CRNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does GEORGE AUSTIN BOOTHE (CRNP) serve?
GEORGE AUSTIN BOOTHE (CRNP)'s listing highlights Montgomery, Alabama; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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