Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Billy Boldon, DO

Individual provider Pediatrics Physician · NPI 1790754000

Dr. Billy Boldon, DO is a Pediatrics Physician in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1405 Strong Ave
Greenwood, MS 38930-4035
Phone: (662) 459-7030
Fax: (662) 459-1104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 12903 (MS)

Record details

NPI number1790754000
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESApril 25, 2008
Mailing addressPo Box 1410, Attn Clinic Administration, Greenwood, MS 38935-1410

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