✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

PAULA JEAN BOYLE, MD (NPI #1972506012)

Family Medicine • YOUNG HARRIS, GA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972506012
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
1155 MAIN ST, YOUNG HARRIS, GA, 30582-4315
✓ 9-Digit EDI 837 ZIP+4 (30582-4315)
Practice Phone & Referral Fax
Fax: (706) 439-6874
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972506012 (PAULA JEAN BOYLE, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1972506012)

Medicare Beneficiaries
949
Total Billed Services
6,617
Distinct CPT/HCPCS Codes
76
Medicare Allowed Total
$218,364.89

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
36415 Insertion of needle into vein for collection of blood sample626
81002 Urinalysis, manual test88
82962 Blood glucose (sugar) test performed by hand-held instrument16
83036 Hemoglobin a1c level36
87804 Detection test by immunoassay with direct visual observation for influenza virus20
90471 Administration of vaccine16
90480 Admn sarscov2 vacc 1 dose101
90662 Influenza vaccine split virus, preservative free119

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Abrysvo
Rsv Vacc, Pref A And Pref B/Pf
3534
Acetaminophen-Codeine
Acetaminophen With Codeine
17<11
Acyclovir
Acyclovir
4811
Albuterol Sulfate Hfa
Albuterol Sulfate
12339
Alendronate Sodium
Alendronate Sodium
25<11
Allopurinol
Allopurinol
6818
Alprazolam
Alprazolam
17438
Amitriptyline Hcl
Amitriptyline Hcl
5313

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972506012 (NPI-1 Individual Practitioner)
Provider / Legal NamePAULA JEAN BOYLE, MD
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address1155 MAIN ST, YOUNG HARRIS, GA, 30582-4315
Practice Telephone / FaxTel: (706) 439-6873 | Fax: (706) 439-6874
Administrative Mailing Address1155 MAIN ST, YOUNG HARRIS, GA, 30582-4315
Enumeration & Last SyncEnumerated: 2005-05-23 | CMS Record Updated: 2021-02-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1155 MAIN ST, YOUNG HARRIS, GA, 30582-4315

🗺️ Open in Google Maps 🏥 More Providers in YOUNG HARRIS

Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAULA JEAN BOYLE, MD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: GA | License: 55928 | Primary: Yes (Primary)
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: GA | License: 055928 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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