PHILLIP JR. BOATRIGHT (PA) – Physician Assistant, NPI 1043764731

PHILLIP JR. BOATRIGHT (PA) is a healthcare provider. based in Vidalia, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 8107 (GA). The NPI Number for PHILLIP JR. BOATRIGHT (PA) is 1043764731

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP JR. BOATRIGHT (PA)
NPI
1043764731
Phone
(912) 537-0888
Address
303 Harris Industrial Blvd
Enumeration Date
10 August 2016
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
3870871726
Group Practice PAC ID
5395797336
Professional Enrollment ID
I20161026003223
Address ID
GA304748674VI3301XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for PHILLIP JR. BOATRIGHT (PA)

  • 303 Harris Industrial Blvd

    Vidalia, GA 304748853

    Phone: (912) 537-0888

    Type: Location

  • 102 Rocky Ford Rd

    Sylvania, GA 304672044

    Phone: (912) 654-5236

    Type: Location

  • 119B Victory Dr

    Swainsboro, GA 304013234

    Phone:

    Type: Location

  • 425 N Cobb St

    Milledgeville, GA 310612634

    Phone: (478) 456-9866

    Type: Location

  • 821 S Main St Ste C

    Baxley, GA 315130163

    Phone: (800) 827-6536

    Type: Location

  • 322 Stephenson Ave Ste A

    Savannah, GA 314054345

    Phone: (912) 721-2262

    Type: Location

  • 257 S Main St

    Reidsville, GA 304534605

    Phone: (912) 557-8990

    Type: Location

  • 16915 Highway 67 Ste A

    Statesboro, GA 304585819

    Phone: (912) 681-2500

    Type: Location

  • 117 KITE RD

    SWAINSBORO, GA 304013231

    Phone: (478) 289-1303

    Type: Mailing

  • 120A VICTORY DR

    SWAINSBORO, GA 304013235

    Phone: (478) 237-3291

    Fax: (478) 237-4344

    Type: Location

  • 601 Ferncrest Drive

    Building A Suite 1

    Sandersville, GA 31082

    Phone: (478) 357-2332

    Type: Location

  • 42 Truman Rd

    Hawkinsville, GA 310364644

    Phone: (478) 783-4190

    Type: Location

  • 961 E Winthrope Ave

    Millen, GA 304421839

    Phone:

    Type: Location

  • 790 Veterans Pkwy Ste 111

    Hinesville, GA 313133991

    Phone: (912) 644-5300

    Type: Location

  • 602 E Long St

    Claxton, GA 304175914

    Phone: (912) 644-5300

    Type: Location

  • 1111 Glynco Pkwy Ste 30A

    Brunswick, GA 315257930

    Phone: (912) 644-5300

    Type: Location

  • 460 MALL BLVD STE B

    SAVANNAH, GA 314064891

    Phone: (478) 289-1303

    Type: Mailing

  • 242 INDUSTRIAL BLVD

    DUBLIN, GA 310212904

    Phone: (800) 827-6523

    Fax: (126) 445-2609

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Boston Scientific Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2016-10-26

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
I20161026003223IPhysician AssistantGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes276147$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg21593$0
20610Aspiration and/or injection of fluid from large joint15186$0
99204New patient office or other outpatient visit, 45-59 minutes6868$0
73562X-ray of knee, 3 views1815$0
View full utilization report →

Insurance plans in this area (ZIP 30474)

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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: 5395797336View full group profile
NameSpecialtyState
Physician AssistantGA
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Orthopedic Surgery, Sports MedicineGA
Physical Therapist In Private PracticeAL
Physician AssistantGA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeGA
Physician AssistantGA

Reviews

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Frequently asked questions

Where can patients find PHILLIP JR. BOATRIGHT (PA)'s NPI?
You can confirm PHILLIP JR. BOATRIGHT (PA) with NPI 1043764731; it appears in the national provider directory.
Does this profile mean PHILLIP JR. BOATRIGHT (PA) is currently active?
Yes — PHILLIP JR. BOATRIGHT (PA) appears active in the national provider directory.
What kind of provider is PHILLIP JR. BOATRIGHT (PA)?
The page reflects Physician Assistant for PHILLIP JR. BOATRIGHT (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for PHILLIP JR. BOATRIGHT (PA)?
The page summarizes Vidalia, Georgia for PHILLIP JR. BOATRIGHT (PA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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