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Dr. Billy Boldon, DO

Pediatrics Physician in Greenwood, MS · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790754000

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Registry record

Entity type Individual (Type 1)
Name Dr. Billy Boldon
Credential DO
Sex Male
Practice address 1405 Strong Ave, Greenwood, MS, 38930
Phone (662) 459-7030
Fax (662) 459-1104
Enumeration date Mar 17, 2006
Last updated in NPPES Apr 25, 2008

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 12903 (MS) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
00113949 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Billy Boldon?
The National Provider Identifier (NPI) for Billy Boldon is 1790754000, a Type 1 (individual) record in the CMS NPPES registry.
Where does Billy Boldon practice?
The practice location on file with NPPES is in Greenwood, MS. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-25.