Doctor profile · Federal record
Dr. Billy Boldon, DO
Pediatrics Physician · Greenwood, MS
- NPI 1790754000
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1405 Strong Ave
Greenwood, MS 389304035
(662) 459-7030
fax (662) 459-1104 - Mailing address
-
Po Box 1410, Attn Clinic Administration
Greenwood, MS 389351410
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- April 25, 2008
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Mississippi #12903
- Medicaid
- MS #00113949
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790754000. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$46
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $16.90 | |
| GlaxoSmithKline, LLC. | 1 | $14.98 | |
| Merck Sharp & Dohme LLC | 1 | $14.30 |
By nature of payment
Frequently asked questions
What is Dr. Billy Boldon's medical specialty?
Dr. Billy Boldon practices Pediatrics Physician in Greenwood, MS.
Where does Dr. Billy Boldon practice?
Dr. Billy Boldon practices at 1405 Strong Ave, Greenwood, MS 389304035. Office phone: 6624597030.
What is Dr. Billy Boldon's NPI?
Dr. Billy Boldon's National Provider Identifier (NPI) is 1790754000, issued by NPPES.